Discirculatory encephalopathy

Dyscirculatory encephalopathy ke lefu le sa foleng la tšenyo ea kelello le nang le bokhoni ba ho tsoela pele ha nako e ntse e tsamaea. Ho haella ha phepelo ea mali ho lebisa phetohong ea sebopeho, e tla ama boleng ba mesebetsi ea eona. Discirculatory encephalopathy e na le mekhahlelo e meraro, mefuta e 'maloa, hammoho le kholo ea tsoelo-pele e fapaneng mohato ka mong oa eona. Ntle le moo, bokuli bona, haeba bo sa phekoloe, bo ka lebisa motho ea phetseng hantle mmeleng ea nang le 'dementia' hape a sitoa ho etsa liphetoho sechabeng.

Mefuta ea maloetse

Atherosclerotic discirculatory encephalopathy

Boloetse bona bo hlaha ka lebaka la atherosmithosis ea methapo ea methapo ebile ke mofuta o atileng haholo oa discirculatory encephalopathy. Ho atherossteosis, methapo e meholo e ameha haholo, e nang le phallo ea mali e kholo bokong, hape e laola bophahamo ba phallo eohle ea mali a mokelikeli. Ka hona, ka kholo ea lefu lena, phallo ea mali ho molumo o fetileng e thata, ka hona, mesebetsi ea boko e ea fokola butle-butle.

Venous discirculatory encephalopathy

Lefu lena le hlaha ebile le tsoela pele ho tlola phallo ea mali a venous a tsoang mokokotlong oa 'mele. Ka lebaka leo, ho tsitsipana ho thehiloeng ho lebisa ho compression ea methapo, ka hare ho lehata le kantle. Ts'ebetso ea boko e senyeha nako e telele ka lebaka la edema, e bang teng ka lebaka la bothata ba madi a tsoang methapong.

Hypertensive discirculatory encephalopathy

Lefu lena le fapana le mefuta e meng ea encephalopathy ka hore e ka hlaha e sa le monyane lilemong. E amahanngoa le ho ba teng ha likotsi tsa khatello ea mali le ho ata ka ho fetesisa nakong ea tsona. Kaha ho ba teng ha mathata ho mpefatsa boemo ba lefu lena, le tsoela pele ka potlako haholo.

Motsoako oa 'mele o kopantsoeng le discepulopathy

E kopanya likarolo tsa hypertensive le atherosselotic discirculatory encephalopathy. Lisebelisoa tse ka sehloohong tsa boko li qala ho sebetsa hantle, 'me boemo bo mpefala ke likotsi tse matla tse bakang ho eketseha ha matšoao a lefu lena.

Sehlopha sa discepulopathy ea discirculatory

Discirculatory encephalopathy, ho latela matšoao le ho teba ha tsona, e arotsoe ka mekhahlelo e meraro, 'me e' ngoe le e 'ngoe e lumellana le litekanyetso tse itseng.

Isethala - ho kenyelletsa le maqeba a manyane a bokong, ao hangata a ka ferekanngoang le matšoao a mafu a mang le mathata a itseng (mohlala, le litlamorao tsa ho lemala ha boko kapa ho tahoa). Leha ho le joalo, ka tlhahlobo ea "discirculatory encephalopathy" mohatong ona oa pele oa lefu lena, maemong a mangata e ka fihlelleha ka ts'ebetso ea lona e tsitsitseng bakeng sa palo e kholo ea lilemo. Mokhahlelo oa pele oa discirculatory encephalopathy o hlahisoa ka matšoao a latelang:

IIsethala - e tšoauoang ke ponahalo ea liteko mathateng a bona le ho hloleha ho bona molato oa batho ba bang, ho feta moo, mmuso ona o atisa ho etelloa pele ke nako ea boitšoaro bo thata. Disadaptation ea sechaba e qala, boits'oarong ba mokuli ho na le mekhoa ea hypochondria, ho tšoenyeha ho eketsehileng. Mokhahlelo oa bobeli oa discepulopathy encephalopathy e emeloa ke matšoao a latelang:

• Ho tsepamisa maikutlo
• Memori e fokotsoe haholo
• Tlas'a bokhoni ba ho laola liketso tsa bona
• Pseudobulbar Syndrome
• Keketseho e kenang
• Boemo ba khatello ea maikutlo

Karolo ea bobeli ea discepulopathy encephalopathy e supa ho ba teng ha bokooa leha ho le joalo, mokuli o ntse a boloka matla a ho itlhokomela.

IIIsethala - e bolela phetoho ea lefu ho fetoha mofuta oa 'dementia ea methapo, ho fana ka maikutlo a' dementia 'a tsebahalang le ho fokotseha ho hoholo ha bokhoni ba ho ba le boiphihlelo bo bocha. Mathata a methapo ea kutlo a bonahala haholoanyane. Mokhahlelo oa boraro oa discepulopathy ea discirculatory e kenyeletsa:

• Tlolo ea bohlokoa ea ho tsamaea
• Urinary incinuence
• Bohlokoa Parkinsonism
• Ho lahleheloa ke ho itlhokomela
• Motsoako
• 'Dementia e matla

Karolong ea boraro ea lefu lena, mokuli o qala ho itšetleha ka ho felletseng ho ba bang mme o hloka tlhokomelo le tlhokomelo e sa feleng ea kantle.

Hoa hlokahala ho tseba hore discepulopia encephalopathy e na le litekanyetso tse fapaneng tsa tsoelo-pele ea eona: ho tloha butle, lilemo tse 5 kapa ho feta, ho potlaka, ha maemo a eona a ka fetoha kamora lilemo tse ka tlase ho tse peli.

Lisosa tsa lefu lena

Ka pelong ea lisosa life kapa life tsa discirculatory encephalopathy ke tlolo ea phallo ea mali: mathata a hlaha methapong e kholo ea bokong, a ikarabellang bakeng sa phallo e kholo ea mali, kapa methapong, e sitisang phallo ea mali ho tsoa ho cranium. Har'a lisosa tsa lefu lena, re ka khetholla:

Ntle le moo, hangata tšusumetso ea tsoelo-pele ea lefu lena le phetoho ea lona methating e matla haholo e ka ba joala, khatello ea kelello, osteochondrosis ea lesapo la mokokotlo.

Phatlalatso le thibelo ea discirculatory encephalopathy

Ka lefu le tsoelang pele ka potlako la lefu lena, lefu lena la tsoekere ha le ratehe ho feta ha le fokola butle. Ha mokuli a ntse a hola, o ba le matšoao a tšoaetso ea methapo ea kutlo a bang teng. Hangata, mohatong oa pele, ho ka etsahala ho fihlela lintlafatso tsa bohlokoa kalafong ea lefu lena le ho le emisa ka nako e telele, mme maemong a mang le fole ka botlalo. Karolo ea bobeli ha e atlehe ntlheng ena, empa hangata eu lumella ho fumana tšoarelo. Prisosis e sa thabiseng ka ho fetisisa bakeng sa mokhahlelo oa boraro oa discirculatory encephalopathy ke hore mokuli a ke ke a hlaphoheloa ka botlalo, bokhoni ba hae ba ho phela le boits'oaro bo haufi le ho fela, mme kalafo ea lithethefatsi e reretsoe ho phekoloa ka mokhoa o hlakileng.

Bakeng sa ho thibela nts'etsopele ea "discirculatory encephalopathy" ho isa maemong a boima haholo, ho hlokahala hore o nke mehato ea ho e phekola qalong ea lefu lena, ha le fumanoe. Ntle le moo, batho ba nang le gene bakeng sa thrombophilia, kapa ho eketseha ha mali ka lebaka la mabaka a mang, ba hloka ho tseba hore ba kotsing ea lefu lena. Sena se bolela hore ba hloka ho lekola boemo ba tšilafalo ea mali mme ha ho hlokahala, ba ee ngakeng ho fana ka litlhare tse fokolisang mali.

Discirculatory encephalopathy, nakong e fetileng, ke lefu la batho ba lilemo tsa pele ho penshene le ba penshene. Empa maemong a kajeno a ho se sebetse, khaello ea phepo e nepahetseng le khatello e matla ea maikutlo, lefu lena le se le le "nyane" mme batho ba lilemong tse bohareng ba fetoha bahlaseluoa ba lona.

Discirculatory encephalopathy - ke eng?

Discirculatory Encephalopathy (DEP) - Ho ferekana ho tsoelang pele ha tšebetso ea boko bo hlahisoang ke tlala ea oksijene. Lefu lena ha le ruruhe ka tlhaho. Karolong e tsoetseng pele, e baka ho hlaseloa ha lisele tsa boko, e isang tlolong ea ts'ebetso ea mesebetsi ea eona ka botlalo.

Ke lefu la methapo ea methapo le methapo hammoho le stroke sa mokokotlo, angina pectoris le aneurysm ea methapo. Ho nka sebaka se etellang pele hara mafu a methapo.

Haeba u khahloa ke karabo ea potso ea hore na lefu la vascular of the brain, u ka le fumana sengolong se seng sebakeng sa rona sa marang-rang.

LITLHAKU TSE KOTSI!

Etsa hore kelello ea hau e sebetse! Kamora matsatsi a 3, memori e hantle ... » Lisosa tsa encephalopathy tsa methapo e fapaneng

Lisosa tsa nts'etsopele ea encephalopathy e ka aroloa likarolo tse peli tsa bohlokoa:

1. Congenital encephalopathy. E hlaha ka lebaka la mathata a liphatsa tsa lefutso ho nts'etsopele ea popelo, ekaba a khopisoa ke ts'ebeliso ea lithibela-mafu, joala kapa lithethefatsi, kapa ha a halefisoe ke letho. E kanna ea ba sesosa sa kotsi ea tlhaho ho lehata lehata.
2. E fumaneha Encephalopathy.

Nts'etsopele ea encephalopathy e ka bakoa ke mabaka a latelang:

• Atherosclerosis,khatello e phahameng ea mali, likotsi tsa phallo ea mali ka har'a lijana tsa bokong. Vascular atherosclerosis, maemong a fetang halofo, ke sesosa sa nts'etsopele ea discirculatory encephalopathy.
• Ho pepesehela lintho tse chefo nako e telele (joala, lik'hemik'hale, meriana, litšepe tse boima) e baka phello e senyang 'mele kaofela mme haholo ts'ebetsong ea boemo ba methapo ea methapo ea boko.
• Mafu a sa foleng a litho tsa ka hare(sebete, liphio, manyeme). Li-pathologies tse sa feleng tsa litho tsa ka hare li ka baka mathata a metabolic a sa sebetseng tšebetso ea methapo ea methapo. Mohlala, uremic encephalopathy e bakoang ke ho se sebetse ha meno ke e 'ngoe ea lisosa tsa ntlafatso ea khatello ea mali, eo,' me e baka nts'etsopele ea discirculatory encephalopathy.
• Radiation e thabisang. Radiation encephalopathy e ba teng ka lebaka la tšenyo bokong e pepesitsoeng ke ho pepesetsoa radiation nako e telele.
• Ka lebaka la ho lemala hloohoLitekanyo tsa Ischemic li ka theha ho theha libaka tse tsitsitseng tse sitisang moea o tloaelehileng oa ho tsamaisa oksijene ho lithishu.

Mefuta ea dyscirculatory encephalopathy

Dyscirculatory encephalopathy e arotsoe ka mefuta e latelang:

1. atherosclerotic encephalopathy,
2. hypertensive encephalopathy,
3. encephalopathy (indephalopathy ea tlhaho e rarahaneng),
4. venous.

Atherosclerotic encephalopathy e hlaha ka lebaka la ho senyeha ha methapo ea pelo. Mokhoa oa vasion lesion ka atherosulinosis o rarahane haholo mme, joalo ka molao, o hokahane haholo le khatello ea mali.

Ho boemo bo tloaelehileng, bokantle ba likepe (endothelium) bo boreleli ebile bo na le molumo o lekaneng le lebelo la phallo ea mali, li-cholesterol plaque ho eona ha li na nako ea ho theha.

Ho na le lintlha tse 'maloa tse ka sitisang sebopeho se akaretsang sa endothelium, mohlala:

Ponahalo ea tšenyo ea endothelial, e baka mochine oa ho hlaphoheloa, ka ho theha lipid letheba (LDL) sebakeng sa timetso. Kamora ho khutlisetsa lisele tsa endothelial, letheba la lipid le lahloa le ho hlatsuoa mali. Haeba ts'ebetso ena e khathatsehile, ts'ebetso ea nts'etsopele e sa laoleheng e qala. atherosclerotic plaques boteng ba sejana.

Mabaka a ka sitisang tšebetso ea metabolic likepeng:

• khatello ea mali
• mathata a endocrine (lefu la tsoekere),
• hypoglycemia,
• mathata a mmele

Ho fumaneha khatello ea kelello ea methapo e kena-kenana le phallo e tloaelehileng ea mali, ka lebaka la ho fokotseha ha methapo ea mali, e leng e 'ngoe ea mabaka a ntlafatso ea atherosulinosis. Ka lehlakoreng le leng, atherosclerosis, e fokotsa bongata ba methapo ea mali bakeng sa phallo ea mali, e baka keketseho ea khatello ea mali.

Bokong, khatello ea methapo ea kutlo, ka lebaka la "ho qobella" ha mali maling a patisaneng, e baka li-microstroke boemong ba capillary, li theha libaka tse sa sebetseng hantle.

Ho latela se boletsoeng ka holimo, ho latela hore ka nts'etsopele ea mofuta oa hypertonic oa encephalopathy, joalo ka molao, liso tsa methapo ea methapo ea methapo le tsona li etsahala, ka hona, ha ho etsoa tlhahlobo ea methapo ea methapo kapa methapo ea methapo ea methapo, mofuta o amoheloang ke encephalopathy oa tšimoloho e kopaneng.

Ho latela sekhahla sa tsoelo-pele, lefu lena le arotsoe ka:

• butle (nako e ka nka lilemo tse fetang 4),
• tšoarelo (ka mekhahlelo ea ho eketsa le ho ts'oarela),
• ka potlako (ka nako ea selemo sa 1).

Sengoliloeng sena u ka fumana litlhaloso tse qaqileng tsa mefuta e meng ea encephalopathy: khalemelo, likotsi tsa morao-rao, masala le joala.

Mochine oa ho ba teng ha discirculatory encephalopathy ea genesis e tsoakiloeng

Li-encephalopathies tsohle tse etsoang ka discirculatory li na le tšusumetso e ngata ea ts'oaetso ea mali ho ea bokong. Sesosa sa nts'etsopele ea maloetse e ka ba ngata, empa e 'ngoe ea tsona tse ka sehloohong ke liso tsa methapo ea methapo ea methapo, haholoholo, atherosclerosis ea methapo ea mokokotlo oa brachiocephalic le lefu la methapo ea methapo ea methapo.

Thupa ea brachiocephalic ke sejana se ka sehloohong se fanang ka tsamaiso ea mali ho tloha aorta ho ea ho:

• artery ea methapo e nepahetseng
• artery e nepahetseng ea carotid,
• artery e nepahetseng ea subclavian.

Ho ipapisitse le mosebetsi oa kutu ea brachiocephalic phepelo e felletseng ea mali kelello.

Hape bala ka hepatic encephalopathy ka cirrhosis.

Hlotse atherosclerosis ea methapo ea methapo ea brachiocephalic, e lebisa khaellong e phehellang ea phepelo ea oksijene bokong. Sebakeng sa hypoxia, palo ea lisele tsa methapo ea kutlo e fokotseha, ho senyeha ha likhokahano tsa neural ho qala, 'me ho hlaha lisele tsa methapo e mengata ea sebopeho sa boko.

Foci of lesion e ka ba libakeng tse fapaneng tsa boko, 'me libaka tse setseng tse nang le likhokahanyo tse bolokiloeng li phethela mesebetsi ea tsona. Ntlheng ena, karolo ea pele ea lefu lena e lula e le teng ha e hlokomeloe. Ho ipapisitse le tikoloho ea libaka tse nang le pherekano ea trophic, ts'ebetso ea boko e ferekane.

Ka kakaretso, nts'etsopele ea discirculatory encephalopathy e ts'oana le lefu la "ischemic" la mothapo, mme phapang e le 'ngoe feela ke hore nako ea seteraeke e matla le ho tsebahala sebakeng se itseng,' me ka lesapo la lesapo la mokokotlo, lesion le hlaha ka tekanyo e kholo e nang le sebaka se pharaletseng sa lesion.

Ha e le molao, ho senyeha ho etsahala ka ho lekana imperceptibly, empa maemong a sa tloaelehang a ka hlaha kapele.

Mekhahlelo ea nts'etsopele ea discepulopathy

Ho latela boholo ba tšenyo ea bokong, methati e latelang e khethollotsoe:

1. Dyscirculatory encephalopathy ea 1 degree. Karolo ea pele ea kholo ea lefu lena. Lipontšo tse ngata tsa discepulopathy ea discirculatory hangata e amahanngoa le mokhathala kapa liphetoho tsa maemo a leholimo. Matšoao a latelang a ka bonahala.
   • mokhathala,
   • likeleli
   • hlooho e bohloko
   • Ho sithabela maikutlo
   • ho tsekela
   • ho se khonehe
   • bofokoli
   • pono ea tlhahisoleseling e ncha e thata
   • lebelo la ho nahana le fokotsehile haholo.
2. Discirculatory encephalopathy likhato tse 2. Karolong ea bobeli, ho na le boemo bo ntseng bo mpefala ba boemo, matšoao a tšoenyang mathateng a pele a lefu lena, a fumana mofuta o sa foleng:
   • hlooho e sa foleng
   • mathata a ho hopola
   • Mathata a hlalosang mantsoe
   • lerata litsebeng kapa hloohong,
   • bofokoli ba pono kapa ba ho utloa,
   • ho holofala leoto
   • Thuso e tlase ea maoto le matsoho
   • cramps
   • ho hloka bonnete
   • ho hloka tšebelisano
3. Dyscirculatory encephalopathy likhato tse 3. Mokhahlelong oa boraro oa discepulopathy ea discirculatory, matšoao a ho sitisoa mosebetsing oa karolo e itseng ea boko a qala ho hlaha. Mohlala:
   • paresis
   • ho phehella ho utloa kapa ho sitisa pono,
   • ha ho na bokhoni ba ho sekamela sebakeng,
   • matšoao a methapo ea methapo ea kutlo a hlaha
   • urinary kapa fecal incinuence

Karolong ea boraro, motho a ke ke a etsa mesebetsi ea basebetsi. Ka lebaka la hore maemong a 1 le a 2, bokooa bo lula bo bolokiloe hanyane kapa hanyane, mokuli o na le tokelo ea ho holofala ka maemo a 3 feela a nts'etsopele ea DEP.

1. Compression tomography (MZKT). Eu lumella ho khetholla tšenyo ea lisele tsa boko tse amanang le phetoho ea letsoalo la eona, ka lebaka la ho hlaha ha liso tse totobatsang maikutlo.
2. Doppler ultrasound. E lumella u ho lekola boemo ba methapo ea methapo ka mothapo le phallo ea mali.
3. Ho ts'oaroa ho kopitsoang ha li-ultrasonic duplex. E kopanya bokhoni ba ho hlahloba li-dopplerography le ho hlahlojoa ha ultrasound. Nakong ea tlhatlhobo, e lumella ho bona, ho kopanya le litšila tse fumanoeng, ka lebaka la liphetoho lebelong le bophahamo ba phallo ea mali, boemo ba mabota a likepe (botenya, khanyetso), tlolo ea sebopeho sa anatomical, ho ba teng ha thrombus (boholo ba eona, ho hlaka, ho sisinyeha), jj.
4. X-ray ea lesapo la mokokotlo. E sebelisoa ho khetholla litlolo tsa anatomical tse sitisang phallo ea molumo o tloaelehileng oa phallo ea mali. Maemong a ho khetholla ho kheloha ho joalo, mme eseng bokhoni ba meriana, buka ea litaelo le mekhoa e meng ea kalafo ho etsa khalemelo, ho sebelisoa mokhoa oa ho kenella ha lingaka.
5. Electroencephalography.
6. Rheoencephalography (REG). Eu lumella ho lekola phallo ea mali le boemo ba methapo ea mali kahare ho bokong.
7. Ho nahana ka maqhubu a hlooho le methapo ea mali ea bokong.
8. Monahano oa boqhetseke ba sebaka seolesapo la mokokotlo.

Hape, ha ho etsoa tlhahlobo ea mafu, ho hlahlojoa litholoana tsa mekhoa ea tlhahlobo ea biochemical:

• mali coagulation (coagulogram),
• madi bakeng sa cholesterol (LDL, VLDL, HDL).

Ngaka nakong ea tlhatlhobo e senola:

• molumo o eketsehileng oa mesifa le tendon,
• Ho bonahala lintho tse sa tloaelehang le tse sa sebetseng hantle tsamaisong ea methapo ea kutlo le tsamaiso ea makoloi.

Phekolo ea dyscirculatory encephalopathy ea motsoako o tsoakaneng ke pheko ea phepelo maloetse a neng a qholotsa nts'etsopele ea DEP. Ho fihlella regression ea bohlokoa kalafong ea atherosulinosis ea methapo ea methapo ea methapo ho fihlela joale ho se khonehe.

Ka lebaka lena, mefuta eohle ea kalafo, ntle le ts'ebetso ea ho buoa, e etselitsoe:

• Thibelo ea tsoelo-pele ea lefu la atherosclerosis,
• khatello ea mali,
• Tsosoloso ea microcirculation ho lisele tse tlasa hypoxia.

Ho sebelisoa mekhoa e latelang ea kalafo:

1. Phekolo ea lithethefatsi:
   • Lithethefatsi tse thibelang kelello. Lithethefatsi tsa antihypertensive li kenyelletsa li-subclass tse fapaneng tse fapaneng tse reretsoeng ho theola khatello ea mali:
     • diuretics
     • calcium blockers,
     • Li-inhibitors tsa ACE
     • lithethefatsi tse thatafatsang ho pepeseha ha lerako la methapo.
   • Angioprotectors:
     • ntšetso-pele ea nchafatso ea lisele ka ho khutlisetsa mats'oants'o a maemong a capillary,
     • kenya letsoho ho tsoa ha limmete, ho fokotsa ho ruruha,
     • kenya letsoho ho matlafatseng lerako la methapo.
   • Maemo e sebelisoa ho fokotsa kotsi ea tsoelo-pele ea atherosclerosis, ka lebaka la thepa ea bona ho thibela tlhahiso ea LDL ke sebete.
   • Li-antiplatelet agents. Ketso ea li-antiplatelet agents e ikemiselitse ho thibela maro a mali le ho ntlafatsa phallo ea mali.
   • E Bontšitsoetšebeliso ea livithamini tsa B, vithamine C (hammoho le tloaelo), vithamine PP (acid e nicotinic) joalo ka kalafo ea antioxidant e tsamaellanang le kalafo ea mantlha.
2. Ho buoa e sebelisoang molemong oa tšenyo e ke keng ea fetoloa ho lijana tse kholo, le lefu le tsoelang pele ka potlako.
3. Pheko ea 'mele. Physiotherapy e fana ka lits'ebeletso tse fapaneng haholo bakeng sa kalafo ea discirculatory encephalopathy:
   • electrophoresis
   • phonophoresis ea lithethefatsi,
   • oksijene, libethe tsa radon.
4. Thupelo
5. Boikoetliso ba 'mele.Phekolo ea 'mele:
   • e na le phello e molemo ts'ebetsong ea pelo,
   • e thusa ho fokotsa khatello ea mali,
   • e khothalletsa ts'ebeliso ea tsoekere maling.
6. Phekolo le mehato ea thibelo e kenyeletsa:
   • ho tlohela ho tsuba
   • ho hana ho noa joala,
   • lithibelo tšebeliso ea lijo tse mafura,
   • boikoetliso bo itekanetseng
   • ho latela mmuso (mosebetsi-phomolo),
   • kalafo ea spa

Phekolo e lokela ho etsoa khafetsa, lithutong tse telele, tse pheta-phetoang bonyane makhetlo a 3-4 ka selemo.

Ts'ebeliso ea litlhare tsa setso bakeng sa kalafo ea li- degree 1

Discirculatory encephalopathy lefu le kotsi le ho sebelisa litlhare tsa batho bakeng la kalafo ha le sebetse.

Litlhare tsa setso li lokela ho sebelisoa e le pheko ea tlhokomelo pakeng tsa lithuto tsa mantlha tsa kalafo kapa a e thusang hammoho le kalafo ea lithethefatsi.

Litlhare tsa kalafo kalafong ea DEP:

1. Ho tsitsisa khatello ea mali le ho ntlafatsa boemo ba pelo le methapo ea mali bo tla thusa:
   • propolis joala joala
   • tincture ea clover (metsi kapa joala),
   • tincture ea litholoana tsa hawthorn,
   • tincture ea joang "litsebe tsa bere" (e na le diuretic athari, e thusa ho fokotsa ho ruruha)
2. Ts'ebeliso ea litlhare tse kokobetsang litlama li tla thusa ho hlophisa ts'ebetso ea ts'ebetso ea methapo e kholo:
   • pharmacy chamomile,
   • koena
   • balm,
   • joang ba valerian
3. Matlafatsa molumo oa vascular le cholesterol e tlase e tla thusa:
   • tincture ea joala ea konofolo,
   • alfalfa broth,
   • decoction ea rose letheka.

U lokela ho tseba: nakong ea kalafo ka litlhare tsa setso, kalafo ea lithethefatsi ha ea lokela ho hlakoloa.

Sehloohong sena, re hlahloba ka botlalo ntlha ea 2-degree.

Na pheko e ka khona?

Boikemisetso ba pheko ea DEP ea 1st degree ka nako e telele ea lefu bo lekane ts'epo. Ka kalafo e matla, ho ka etsahala hore o fokotse butle haholo, mme maemong a sa tloaelehang, emisa tsoelo-pele ea lefu lena. Ho fihlella sephetho se tšoarellang, hoa hlokahala khetho ea motho ka mong meriana le mokhoa o kopaneng oa kalafo.

Libaka tse etellang pele kalafong ke:

• Ho etsa kalafo e matla ea antihypertensive,
• normalization ea lipid metabolism (ts'ebeliso ea lijo, meriana),
• Tsosoloso ea mali a rheological.

Bohlokoa ka ho fetisisa kalafong ea DEP ke tlhahlobo ea nako ka nako, sena se eketsa menyetla ea ts'ebetso e fetoloang hape e ka ntlafatsa boleng ba bophelo.

Discirculatory encephalopathy (DEP) e tsoela pele hantle, Tšenyo e sa foleng ea methapo ea kutlo ea mokokotlo ka lebaka la mathata a ho potoloha. Har'a maloetse ohle a methapo ea methapo, DEP e nka sebaka sa pele khafetsa.

Ho fihlela haufinyane, lefu lena le ne le amahanngoa le botsofali, empa lilemong tsa morao tjena boemo bo fetohile, 'me lefu lena le se le fumanehile ho batho ba phetseng hantle ba lilemo tse 40-50. Ho potlaka ha bothata ho bakoa ke taba ea hore liphetoho tse sa fetoheng bokong ha li lebise feela phetohong ea boits'oaro, monahano le boemo ba kelello ba bakuli. Maemong a mangata, ho holofala ho na le bothata, 'me mokuli o hloka thuso le tlhokomelo ha a etsa mesebetsi e tloaelehileng ea ntlo.

Nts'etsopele ea discirculatory encephalopathy e thehiloe holima tšenyo e sa feleng ea lisele tsa methapo ka lebaka la hypoxia e bakoang ke methapo ea methapo, ka lebaka leo, DEP e nkuoa e le lefu la cerebrovascular (CVB).

• Ho feta halofo ea linyeoe tsa DEP li amahanngoa le atherosclerosis, ha lipid plaque e kena-kenana le motsamao o tloaelehileng oa mali ka methapo ea methapo ea methapo.
• Sesosa se seng se seholo sa ho ferekana kelellong bokong ke khatello ea methapo ea methapo, eo ho nang le mokokotlo oa methapo e menyenyane le arterioles, phetoho e ke keng ea fetoloa marakong a vascular ka mokhoa oa dystrophy le sclerosis, tse qetellang li lebisa mathateng a ho isa mali ho li-neuron.
• Ntle le atherosclerosis le hypertension, sesosa sa vasep encophalopathy e ka ba lefu la tsoekere, lefu la lesapo la mokokotlo, ha mali a phalloha methapong ea methapo ea methapo e le thata, vasculitis, tlhekefetso tlhabollong ea methapo ea methapo ea pelo.

Khafetsa, haholo-holo ho bakuli ba tsofetseng, ho na le motsoako oa lintlha tse 'maloa tsa causative - atherosclerosis le khatello ea mali, khatello ea mali le lefu la tsoekere, mme mohlomong ho ba teng ha mafu a' maloa hang, ebe ba bua ka encephalopathy ea tlhaho e tsoakiloeng.

ho pelo ea DEP - tlolo ea phepelo ea mali ho ea bokong ka lebaka le le leng kapa a mangata

DEP e na le maemo a kotsi a ts'oanang le a mafu a mantlhae lebisang ho fokotseheng ha phallo ea mali bokong: ho nona haholo, ho tsuba, tšebeliso e mpe ea joala, liphoso tsa phepo e ntle, bophelo ba ho lula fatše. Tsebo ea lintlha tse kotsing e lumella thibelo ea DEP le pele ho qaleho ea matšoao a lefu la pelo.

Nts'etsopele le lipontšo tsa discirculatory encephalopathy

Ho latela sesosa, mefuta e 'maloa ea methapo ea pelo e khetholloang:

1. Moferefere.
2. Atherosulinotic.
3. Venous
4. E tsoakiloe.

Liphetoho ka har'a lijana li ka fapana, empa kaha sephetho ke tlolo ea phallo ea mali, lipontšo tsa mefuta e fapaneng ea encephalopathy li ts'oaroa. Boholo ba bakuli ba tsofetseng ba fumanoa ba e-na le mofuta o itseng oa lefu lena.

Ka mofuta oa thupelo, encephalopathy e ka ba:

• O tsoela pele butle-butle, ha karolo ka 'ngoe e nka lilemo tse peli.
• Ho tlohela ka ho eketseha butle-butle ha matšoao, ntlafatso ea nakoana le ho fokotseha hoa kelello,
• Hlahlobo, ha lefu lena le nka lilemo tse ngata, kapele le lebisa ho dementia.

Bakuli le beng ka bona, ba tobaneng le tlhahlobo ea lefu la DEP, ba batla ho tseba hore na ba ka lebella eng ho tsoa ho lefu la bophelo le hore na ba ka sebetsana le lona joang. Encephalopathy e ka amahanngoa le mafu a 'maloa ao ho ona moroalo o moholo oa boikarabello le tlhokomelo li oela ho ba potileng batho ba kulang. Beng ka uena le metsoalle ba lokela ho tseba hore na lefu la tsoalo le tla hlaha joang le ho phela le setho sa lelapa se kulang.

Ho buisana le ho phela hammoho le bakuli ba nang le encephalopathy ka linako tse ling ke mosebetsi o boima. Ha se taba feela ea thuso ea 'mele le tlhokomelo. Ho thata le ho feta ke ho ikopanya le mokuli, ea seng e se e le karolo ea bobeli ea lefu lena. Mokuli a ka 'na a se utloisise ba bang kapa a utloisisa ka tsela ea hae, athe ha a felloe ke matla hanghang ho etsa joalo le ho bua.

Beng ka motho ba sa utloisiseng ka botlalo moelelo oa "pathology" ba ka ngangisana, ba halefa, ba khopiseha, ba leka ho kholisa mokuli ka ntho e ke keng ea tlisa sephetho. Mokuli le eena o arolelana le baahisani kapa batho bao a ba tloaetseng mehopolo ea hae ka se etsahalang lapeng, o ikemiselitse ho tletleba ka mathata a seng teng. Hoa etsahala hore e tla ka litletlebo maemong a fapaneng, ho qala ka Ofisi ea Bolulo le ho qeta ka mapolesa. Boemong bo joalo, ho bohlokoa ho bontša mamello le masene, ho hopola kamehla hore mokuli ha a bone se etsahalang, ha a itaole ebile ha a khone ho itšoaea liphoso. Ho leka ho hlalosetsa mokuli ho hong ha ho na thuso, ka hona ho molemo ho amohela lefu lena mme o leke ho lumellana le khatello ea maikutlo ea moratuoa ea ntseng a hola.

Ka bomalimabe, linyeoe ha li sa tloaeleha ha bana ba baholo, ba oela matšoenyehong, ba se na matla ebile esita le khalefo, ba ikemiselitse ho hana ho hlokomela motsoali ea kulang, ba fetisetsa tlamo ena mmusong. Maikutlo a joalo a ka utloisisoa, empa o lokela ho hopola kamehla hore batsoali ba kile ba fana ka mamello eohle le matla ho bana ba ntseng ba hola, ba ne ba sa robala bosiu, ba fola, ba thuswa mme ba ne ba le teng kamehla, ka hona ho ba hlokomela ke boikarabelo bo tobileng ba bana ba baholo.

Matšoao a lefu lena a na le tlolo ea kelello, le maikutlong le maikutlong, ho ipapisitse le botebo ba bona bo khethollang sethala sa DEP le ho ruruha.

Tleliniki e khetholla methati e meraro ea lefu lena:

1. Mokhahlelo oa pele o tsamaisana le ho senyeha ho fokolang ha kelello ho sa thibele mokuli ho sebetsa le ho phela bophelo bo tloaelehileng. Boemo ba Neurological ha boa senyeha.
2. Mokhahlelong oa bobeli, matšoao a mpefala, ho na le tlolo ea molao e hlakileng, likotsi tsa makoloi, mathata a kelello a hlaha.
3. Mokhahlelo oa boraro o thata ka ho fetisisa, ke khatello ea maikutlo le khatello e matla ea kelello le monahano, tlolo ea boemo ba methapo, e hlokang ho shebeloa le ho hlokomela mokuli ea sa sebetseng hantle.

KHOLO ea 1

Phapang ea dyscirculatory encephalopathy hangata e etsahala ka boits'oaro ba maloetse a maikutlo. Tleliniki e ntlafala butle-butle, butle-butle, batho ba haufi le ho lemoha liphetoho mokhoeng oa bona, ba re ke ba botsofe kapa mokhathala. Bakuli ba fetang halofo ba nang le karolo ea pele ea DEP ba na le khatello ea maikutlo, empa ba sa sekisetse ho tletleba ka bona, ke hypochondriacal, ha ba na kutloelo-bohloko. Ho sithabela maikutlo ho etsahala ka lebaka le lenyane kapa leha ho se na eona, khahlano le semelo sa ho phela hantle ka botlalo ka lapeng le mosebetsing.

Bakuli ba Dep of the 1st degree ba tsepamisa litletlebo tsa bona ho somatic pathology, ba hlokomoloha liphetoho tsa maikutlo. Kahoo, ba tšoenyehile ka bohloko ba manonyeletsong, mokokotlong, mokokotlong, o sa amaneng le tekanyo ea 'nete ea tšenyo ea litho tsa ka hare, ha ho iphapanya le khatello ea maikutlo li sa tšoenye mokuli haholo.

Tšobotsi e kholo haholo bakeng sa DEP ke phetoho kamorao ho maikutlo, e tšoanang ho neurasthenia. Ho feto-fetoha ha maikutlo ho hoholo ho tloha ho tepelletseng maikutlo ho fetoha thabo ea tšohanyetso, ho lla ho se nang mabaka, ho hlonamela ba bang ho ka khoneha. Khafetsa boroko boa khathatseha, mokhathala, hlooho e bohloko, litšitiso le ho lebala li hlaha. Phapang pakeng tsa DEP le neurasthenia e nkoa e le motsoako oa matšoao a hlalositsoeng le ho senyeha hoa kelello.

Ho senyeha ha kelello ho fumanoa ho bakuli ba 9 ho ba 10 mme ho kenyelletsa mathata a ho tsepamisa mohopolo, ho lebala ka hlooho, mokhathala nakong ea ts'ebetso ea kelello. Mokuli o lahleheloa ke mokhatlo oa hae oa pele, o thatafalloa ke ho rera nako le boikarabello. Ha a hopola liketsahalo ho tloha bophelong ba hae, ha a phete tlhahiso-leseling eo a sa tsoa e fumana, o sa hopola hantle seo a se utloileng le ho se bala.

Boemong ba pele ba lefu lena, ho na le mathata a ho sisinyeha a mmele a seng a hlahile. L tletlebo ea ho tsekela, ho sa tsitsa le ho nyekeloa ke pelo ka ho hlatsa lia khoneha, empa li hlaha feela nakong ea ho tsamaea.

KHUTLA 2 likhato

Tsoelo-pele ea lefu lena e lebisa ho degree 2 DEP, neng matšoao a kaholimo a mpefalitsoe, ho fokotseha ho hoholo hoa bohlale le monahano, ho hloka taolo le kelello, empa mokuli a ke ke a hlahloba boemo ba hae ka nepo, hangata a fetisa bokhoni ba hae. Ho thata ho khetholla ka mokhoa o hlakileng lipakeng tsa degree ea bobeli le ea boraro ea DEP, empa tahlehelo e felletseng ea matla a ho sebetsa le monyetla oa ho ba teng o ikemetseng o nkuoa ntle le pelaelo bakeng sa degree ea boraro.

Ho fokotseha ho hoholo ha bohlale ho sitisa phethahatso ea mesebetsi ea mesebetsi mme ho baka mathata a itseng bophelong ba letsatsi le letsatsi. Mosebetsi o fetoha o sa khoneheng, ho lahleheloa ke mosebetsi oa ho itlosa bolutu ka lintho tse tloaelehileng, 'me mokuli a ka qeta lihora tse ngata a etsa ntho e sa sebetseng kapa a lula a sa sebetse.

Litloaelo tse sebakeng le nako li robehile. Ha a le lebenkeleng, motho ea tšoeroeng ke Dep a ka lebala ka lintho tse reroang, 'me ha a tloha, ha a hopole tsela e eang hae hanghang. Beng ka motho ba lokela ho hlokomela matšoao a joalo, 'me haeba mokuli a tsoa ka tlung, ho ka ba molemo ho netefatsa hore o na le sengoloa kapa lengolo le itseng ka aterese, hobane hangata ho fumanoa malapeng le beng ka motho ea joalo ea lahlehileng.

Karolo ea maikutlo e ntse e tsoela pele ho sithabela. Liphetoho mokhoeng oa ho feto-fetoha le maemo li baka ho hloka thahasello, ho se tsotelle ho etsahalang le ba bang. Ho ikopanya le mokuli ho fetoha ntho e ke keng ea etsahala. Mathata a bonahalang a koloi. Mokuli o tsamaea butle, a sisinya maoto. Hoa etsahala hore qalong ho thata ho qala ho tsamaea, ebe ho thata ho emisa (joalo ka Parkinsonism).

Tlhahisoleseling ka kakaretso

Discirculatory encephalopathy (DEP) ke lefu le tloaelehileng ho neurology. Ho ea ka lipalo-palo, baahi ba Russia ba ka bang 5-6% ba tšoeroe ke lefu la tsitsipano ea methapo. Hammoho le lits'oants'o tse mpe, malformations le aneurysms ea likerese tsa likhoerekhoere, DEP ke ea methapo ea methapo ea methapo, ka sebopeho sa eona e nkang sebaka sa pele khafetsa ea liketsahalo.

Ka setso, dyscirculatory encephalopathy e nkoa e le bokuli boholo ba batho ba tsofetseng. Leha ho le joalo, tloaelo e akaretsang ea "ho nchafatsa" mafu a pelo le eona e bonoa mabapi le DEP. Hammoho le angina pectoris, infraction ea myocardial, stroke stroke, discirculatory encephalopathy e ntse e bonoa haholo ho batho ba ka tlase ho lilemo tse 40.

Mabaka a DEP

Ntshetsopele ea DEP e ipapisitse le ischemia e sa foleng ea 'mele e bang teng ka lebaka la methapo e fapaneng ea methapo. Maemong a ka bang 60%, dyscirculatory encephalopathy e bakoa ke lefu la atherosclerosis, e leng, liphetoho tsa atherosselotic maboteng a likepe tsa likhoerekhoere. Sebaka sa bobeli hara lisosa tsa ho lula ho lefu la khatello ea mali le sa foleng, se bonoang maemong a khatello ea mali, lefu la glomerulonephritis le lefu la polycystic, pheochromocytoma, lefu la Itsenko-Cushing, joalo-joalo.

Har'a mabaka a hlahisoang ke ho ruruha ha methapo ea methapo ea kutlo, methapo ea methapo ea methapo ea methapo, e khethollang 30% ea ho potoloha ha lisele. Kliniki ea lefu la methapo ea methapo ea methapo e kenyelletsa lipontšo tsa discirculatory encephalopathy ka letamong la boko la vertebro-basilar. Lisosa tsa phallo e sa lekaneng ea mali ka methapo ea methapo ea methapo e lebisang ho Dep e ka ba:: osteochondrosis ea lesapo la mokokotlo, ho hloka botsitso ha sebopeho sa dysplastic kapa ka mor'a ho lemala ha vertebral, Kimmerly anomaly, vertebral artery maltery.

Khafetsa, discirculatory encephalopathy e etsahala khahlano le semelo sa lefu la tsoekere, haholoholo maemong ao ho ke keng ha khoneha ho boloka maemo a tsoekere ea mali ka tekanyo e phahameng ea moeli. Maemong a joalo, lefu la tsoekere la macroangiopathy le lebisa ho hlaheng ha matšoao a DEP. Lintho tse ling tse bakoang ke ho ruruha ha methapo ea kutlo ea discirculatory encephalopathy li kenyelletsa likotsi tse mpe tsa boko, systemic vasculitis, lefu le tšoaetsanoang la lefutso, ho phehella ha maikutlo kapa khatello ea methapo.

Lintho tse amanang le 'mele tsa' mele ka mokhoa o fapaneng li lebisa ho senyeha hoa phallo ea lisele, 'me ke ka hoo hypoxia le trophism ea lisele tsa boko li senyehileng. Ka lebaka leo, lisele tsa boko li shoa ka sebopeho sa libaka tse sa tloaelehang tsa lisele tsa boko (leukoaraiosis) kapa li-foci tse nyane tsa tse bitsoang "ho nyekeloa ke pelo".

Batho ba kotsing e kholo ea ho tsoa likotsi tse sa feleng tsa mokokotlo ke taba e tšoeu ea likarolo tse tebileng tsa bokong le likarolo tse tlase tsa mmele. Sena se bakoa ke sebaka seo ba leng ho sona moeling oa libate tsa vertebro-basilar le carotid. Ischemia e sa foleng ea likarolo tse tebileng tsa boko e lebisa ho sitisoeng khokahanong lipakeng tsa "subcortical ganglia" le "cortex" ea "cerebral" e bitsoang "disconnect phenomenon". Ho ea ka mehopolo ea sejoale-joale, ke "ntho e sa thabiseng" eo e leng mochine o ka sehloohong oa pathogenetic bakeng sa nts'etsopele ea discirculatory encephalopathy mme e baka matšoao a eona a mantlha a kliniki: mathata a kelello, ho senyeha ha karolo ea maikutlo le ts'ebetso ea makoloi. Ke tšobotsi ea hore dyscirculatory encephalopathy qalong ea thupelo ea eona e bonahatsoa ke lits'ebetso tse sebetsang, tseo haeba li phekoloa ka nepo, li ka fetoloang, 'me ebe bofokoli bo tsoelang pele ba methapo, bo atisang ho baka ho holofala ha mokuli.

Ho ile ha hlokomeloa hore hoo e ka bang halofo ea linyeoe, dyscirculatory encephalopathy e etsahala hammoho le lits'ebetso tsa methapo ea kutlo bokong. Sena se bakoa ke ho tšoana ha lintho tse lebisang ho holiseng mafu a mabeli a bokong le liphetoho tse fokolisang lisele tsa boko.

PUSO TSE KHOLO

Ho na le 'dementia' e matla, neng mokuli o lahleheloa ke matla a ho nahana le ho etsa liketso tse lebisitsoeng, ha e na kutloelo-bohloko, ha e khone ho tsamaea sebakeng le nako. Mothating ona, ho bua ka mokhoa o kopanetsoeng hoa ferekanya kapa hona ho ba sieo, matšoao a tebileng a methapo a hlaha ka tsela ea matšoao a ho buoa ka molomo, ho se sebetse hantle liphatseng tsa lefu la sethoathoa, mathata a koloi ho paresis le ho holofala, le ho ts'oaroa ka tšohanyetso hoa khoneha.

Haeba mokuli ea boemong ba 'dementia' a ntse a khona ho tsoha le ho tsamaea, joale o lokela ho hopola ka menyetla ea ho oela e nang le likhahla tse ngata, haholoholo ho batho ba tsofetseng ba nang le lefu la masapo. Likotsi tse mpe li ka baka kotsi mokhatlong ona oa bakuli.

'Dementia' e hloka tlhokomelo le thuso tse sa feleng. Mokuli, joalo ka ngoana e monyane, a ke ke a ja lijo ka boithaopo, a ea ntloaneng, a itlhokomela 'me a qeta nako ea hae e ngata a lutse kapa a robetse betheng. Boikarabello bohle ba ho boloka bophelo ba hae bo oela ho baena, ho fana ka mekhoa ea bohloeki, lijo tsa lijo, tseo ho leng thata ho li bipetsa, ba boetse ba lekola boemo ba letlalo, e le hore ba se ke ba fetoa ke ponahalo ea maqeba a khatello.

Ho isa bohōleng bo itseng, ka encephalopathy e matla, e ka ba bonolo le ho feta ho baena. Ho tlohela, ho hloka boikitlaetso ba 'mele, ha ho kenyelle puisano, ho bolelang hore ha ho na lintlha tsa pele tsa likhohlano, khalefo le khalefo ka mantsoe ao mokuli a sa a tsebeng. Boemong ba dementia, ha ba sa ngola litletlebo ebile ha ba tšoenyehe ka lipale tsa baahelani ba bona. Ka lehlakoreng le leng, ho bona ho theoha ho sa feleng ha moratuoa ntle le bokhoni ba ho thusa le ho utloisisoa ke eena ke moroalo o boima oa kelello.

Tlhomamiso

Ka etiology, dyscirculatory encephalopathy e arotsoe ka hypertonic, atherosulinotic, venous le e tsoakiloeng. Ka mofuta oa thupelo, ho hatela pele butle-butle (classical), ho ts'oarela le ho hatela pele ka potlako (galloping) discirculatory encephalopathy ho khetholloa.

Ho latela botebo ba lipontšo tsa bongaka, dyscirculatory encephalopathy e arotsoe ka mekhahlelo. Stage I dyscirculatory encephalopathy e tšoauoa ka subjecaction ea liponahatso tse ngata, ho fokola ha kelello ho tebileng, le ho ba teng ha liphetoho maemong a methapo. Stage II dyscirculatory encephalopathy e tšoauoa ka tšenyo e fetisisang ea kelello le koloi, ho mpefala hoa mafu a karolo ea maikutlo. Stys III dyscirculatory encephalopathy ha e le hantle methapo ea methapo ea kutlo e fapaneng, e tsamaisana le mathata a fapaneng a koloi le kelello.

Mantsoe a 'maloa mabapi le lefu lena

Matšoao a encipihal encephalopathy a ka 'na a se ke a bonahala ho mokuli kapa ho beng ka eena Ntho ea pele eo u ka e etsang ke ho buisana le batho ka methapo ea kutlo.

Sehlopha sa kotsi se kenyeletsa batho bohle ba tsofetseng, lefu la tsoekere, khatello ea maikutlo, batho ba nang le lefu la atherosclerosis. Ngaka e ke ke ea lekola maemo a akaretsang feela, empa hape e tla etsa liteko tse bonolo bakeng sa ho ba le ts'oaetso ea kelello: o tla u kopa hore o etse setšoantšo sa nako mme o tšoaea nako, o phete mantsoe a boletsoeng ka tatellano e nepahetseng, jj.

Bakeng sa tlhahlobo ea lefu la lefu la mafua, setsebi sa masapo a mahlo se hloka ho rerisana, electroencephalography, ultrasound e nang le doppler ea lijana tsa hlooho le molala. Ho khetholla psychology e 'ngoe ea boko, ho bontšoa CT le MRI.

Ho hlakisoa ha lisosa tsa DEP ho kenyelletsa ECG, tlhahlobo ea mali bakeng sa sefahleho sa lipid, ho hlohlona, ​​boikemisetso ba khatello ea mali, tsoekere ea mali. Keletso ea ngaka ea endocrinologist, cardiologist, 'me maemong a mang, ho hlokahala hore ngaka e buoang masapo e sebetse hantle.

Phekolo ea discepulopathy ea discirculatory

Phekolo ea dyscirculatory encephalopathy e lokela ho ba e akaretsang, e reretsoeng ho felisa eseng feela matšoao a lefu lena, empa hape mabakae bakang liphetoho kelellong.

Phekolo ea nako le e sebetsang ea "psychology" ea boko ha e na karolo ea bongaka feela, empa hape e na le ea sechaba le ea moruo, hobane lefu lena le lebisa ho holofala 'me, qetellong, ho holofala le bakuli ba maemong a matla ba hloka thuso ea kantle.

Phekolo ea DEP e etselitsoe ho thibela mathata a methapo a methapo a bokong (methapo), ho lokisa tsela eo lefu lena le bakoang ka eona le ho khutlisetsa tšebetso ea bokong le phallo ea mali ho lona. Phekolo ea lithethefatsi e ka fana ka phello e ntle, empa feela ka ho nka karolo le takatso ea mokuli ka boeena ho loants'a lefu lena. Ntho ea pele eo u lokelang ho e etsa ke ho nahanisisa ka mokhoa oa hau oa bophelo le litloaelo tsa ho ja. Ka ho tlosa mabaka a kotsi, mokuli o thusa ngaka haholo ho loants'a le lefu lena.

Hangata ka lebaka la bothata ba ho fumana methati ea pele, kalafo e qala ka grade 2 DEP, ha ts'enyo ea kelello e sa hlole e belaela. Leha ho le joalo, sena ha se lumelle feela ho liehisa tsoelo-pele ea encephalopathy, empa hape ho tlisa boemo ba mokuli boemong bo amohelehang bakeng sa bophelo bo ikemetseng mme, maemong a mang, mosebetsi.

Phekolo eo eseng ea lithethefatsi bakeng sa discirculatory encephalopathy e kenyeletsa:

• Tloaelo, kapa bonyane ho theola boima ba 'mele ho boleng bo amohelehang,
• Lijo
• Ho felisa mekhoa e mebe,
• Ho ikoetlisa.

Boima bo feteletseng bo nkuoa e le sesosa sa kotsi bakeng sa khatello ea mali le lefu la pelo, ka hona ho bohlokoa haholo ho e khutlisetsa ho tloaelehileng. Sena se hloka ho ja le ho ikoetlisa, ho khoneha bakeng sa mokuli mabapi le boemo ba hae. Ho khutlisetsa mokhoa oa hau oa bophelo morao mesebetsing e tloaelehileng, e holang, o lokela ho tlohela ho tsuba, tse amang hampe marako a methapo le lisele tsa boko.

Lijo tsa 'mele li lokela ho thusa ho fokotsa metabolism ea mafura le ho tsitsisa khatello ea maliKa hona, ho khothalletsoa ho fokotsa tšebeliso ea mafura a liphoofolo, ho a nkela mafura a meroho, ho molemo ho tlohela nama e mafura molemong oa litlhapi le lijo tsa leoatleng. Palo ea letsoai ha ea lokela ho feta 4-6 g ka letsatsi. Lijo li lokela ho ba le lijo tse lekaneng tse nang le livithamini le liminerale (calcium, magnesium, potasiamo). Joala le bona bo tla tlameha ho tloheloa, hobane tšebeliso ea eona e tlatsetsa ho tsoeleng pele ha khatello ea mali, 'me lijo tse matlafatsang le tse nang le khalori e phahameng ke tsela e tobileng ea ho atherosmithosis.

Bakuli ba bangata, kaha ba utloile ka tlhoko ea phepo e phetseng hantle, ba bile ba tsohile, ho bonahala eka ba tla tlameha ho tlohela lijo tse tloaelehileng le lijo tse ngata, empa sena ha se nnete, hobane nama e ts'oanang ha ea lokela ho halikisoa ka oli, e belise feela. Le DEP, meroho le litholoana tse ncha tse sa tsotelitsoeng ke batho ba sejoale li bohlokoa. Lijong ho na le sebaka sa litapole, lieie le konofolo, litlama, tamati, nama e mafura a tlase (veal, turkey), mefuta eohle ea lihlahisoa tsa lebese, linate le lijo-thollo. Salads li natefeloa haholo ka oli ea meroho, empa mayonnaise e tlameha ho lahloa.

Mehatong ea pele ea lefu lena, ha matšoao a pele a ts'ebetso ea ts'ebetso ea boko a sa tsoa hlaha, ho lekane ho lekola tsela ea bophelo le phepo e nepahetseng, ho ela hloko mesebetsi ea lipapali. Ka tsoelo-pele ea psychology, ho na le tlhoko ea kalafo ea lithethefatsi, e ka bang pathogenetic, e reretsoeng lefu le ka tlase, le matšoao, le etselitsoeng ho felisa matšoao a DEP. Maemong a boima, kalafo ea ho buoa e boetse e khonahala.

Phekolo ea lithethefatsi

Pathogenetic kalafo ea discepulopathy ea discirculatory e kenyeletsa ntoa khahlanong le khatello e phahameng ea mali, ts'ebetso ea senya ea methapo ea methapo, mafura a senyehileng le metabolism ea carbohydrate. Bakeng sa kalafo ea pathogenetic ea DEP, lithethefatsi tsa lihlopha tse fapaneng li laetsoe.

Ho felisa khatello ea mali, sebelisa:

1. Angiotensin-converting enzyme inhibitors - e bontšitsoe ho bakuli ba nang le khatello ea mali, haholo bacha. Sehlopha sena se kenyelletsa "capropril" e bohloko, lisinopril, losartan, joalo-joalo. Ho pakoa hore lithethefatsi tsena li thusa ho fokotsa tekanyo ea hypertrophy ea pelo le bohareng, mesifa, arterioles, e thusang ho ntlafatsa phallo ea mali ka kakaretso le microcirculation ka ho khetheha.
   Li-inhibitors tsa ACE li laeloa bakuli ba nang le lefu la tsoekere, ho nyekeloa ke pelo, liso tsa methapo ea methapo ea methapo ea methapo ea kutlo. Ho fihlela lipalo tse tloaelehileng tsa khatello ea mali, mokuli ha a kotsing ea tšenyo ea ho senyeha hoa boko ba ischemic feela, empa le lichapo. Litekanyetso le li-regimen tsa lithethefatsi tsa sehlopha sena li khethoa ka bonngoe ho ipapisitse le litšobotsi tsa nako ea lefu lena ho mokuli ea itseng.

1. Beta-blockers - atenolol, pindolol, anaprilin, jj. Lithethefatsi tsena li fokotsa khatello ea mali le ho thusa ho khutlisetsa ts'ebetso ea pelo, e bohlokoa haholo ho bakuli ba nang le arrhythmias, lefu la pelo le pelo le lefu la pelo le sa foleng. Beta-blockers e ka laetsoa ho tsamaellana le li-inhibitors tsa ACE, le lefu la tsoekere, lefu la bronchial, mefuta e meng ea mafu a pelo e ka fetoha litšitiso tšebeliso ea tsona, ka hona ngaka ea lefu la pelo e khetha kalafo kamora tlhahlobo e hlakileng.
2. Li-antagonists tsa "calcium" (nifedipine, diltiazem, verapamil) li baka phello e matlafatsang 'me li ka thusa ho ruruha pelo. Ntle le moo, lithethefatsi tsa sehlopha sena li tlosa khatello ea methapo, li fokotsa khatello ea methapo ea methapo, 'me ka tsela eo li ntlafatsa phallo ea mali bokong. Tšebeliso ea nimodipine ho bakuli ba tsofetseng e tlosa ho senyeha hoa kelello, ho ba le phello e ntle esita le sethaleng sa 'dementia'. Ts'ebeliso ea bahanyetsi ba khalsiamo lihlooho tse matla tse amanang le DEP li fana ka litholoana tse ntle.
3. Diuretics (furosemide, veroshpiron, hypothiazide) e etselitsoe ho fokotsa khatello ka ho tlosa mokelikeli o mongata le ho fokotsa bongata ba mali a potoloha. Li ngotsoe hammoho le lihlopha tse ka holimo tsa lithethefatsi.

Kamora ho tloaeleha ha khatello, sethala sa kalafo sa DEP e lokela ho ba ntoa khahlanong le mathata a metabolism ea mafura, hobane atherosclerosis ke eona ntho ea bohlokoa ka ho fetisisa e ka bakang khatello ea methapo ea kelello. Taba ea mantlha, ngaka e tla eletsa mokuli ka lijo le boikoetliso bo ka ntlafatsang pono ea lipid. Haeba kamora ho qeta likhoeli tse tharo phello e sa etsahale, taba ea kalafo e tla qetoa.

Bakeng sa khalemelo ea hypercholesterolemia, o hloka:

• Lithethefatsi tse thehiloeng nicotinic acid (acipimox, enduracin).
• Fibrate - gemfibrozil, clofibrate, fenofibrate, jj.
• Statins - e na le ts'ebetso e fokotsang haholo ea lipid, e kenya letsoho ho khutlisetsong kapa ho tsitsisa ha lipampiri tse teng methapong ea boko (simvastatin, lovastatin, leskol).
• Li -ququuction tsa mafura acids (cholestyramine), litokisetso tse thehiloeng oli ea tlhapi, li-antioxidants (vithamine E).

Karolo ea bohlokoahali ea kalafo ea pathogenetic ea DEP ke ts'ebeliso ea li-agents tse khothalletsang vasodilation, lithethefatsi tsa nootropic le li-neuroprotectors tse ntlafatsang lits'ebetso tsa metabolic liseleng tsa methapo.

Vasodilators

Lithethefatsi tsa Vasodilating - Cavinton, Trental, Cinnarizine, li fanoa kahare kapa li laetsoe ka mokhoa oa matlapa. Ka mathata a phallo ea mali ka mokokotlong oa carotid artery, cavinton e na le phello e ntle ka ho fetisisa, e nang le boteng ba vertebrobasilar - stugeron, cinnarizine. Sermion e fana ka sephetho se setle ka kopanelo ea methapo ea methapo ea methapo ea kelello le maoto, hammoho le ho fokotseha hoa kelello, mohopolo, monahano, ts'ebetso ea karolo ea maikutlo, ho senyeha hoa tloaelo ea maemo sechabeng.

Khafetsa, dyscirculatory encephalopathy bokamorao ba atherosclerosis e tsamaisana le mathata a ho tsoa hoa mali a tsoang bokong a tsoa bokong.Maemong ana, redergin e fanoang ka methapo ea methapo kapa matlapeng e sebetsa. Vazobral ke sethethefatsi sa moloko o mocha se sa fokotseheng methapo ea mali ea mali hantle mme se eketsa phallo ea mali ho tsona, empa se thibela le ho kopana ha lintho tse bopehileng, tse kotsi haholo ho lefu la methapo le methapo ea methapo ka lebaka la khatello ea mali.

Nootropics le neuroprotectors

Ho ke ke ha khoneha ho phekola mokuli ka discepulopathy ea discirculatory ntle le lithethefatsi tse ntlafatsang metabolism liseleng tsa methapo ebe li ba le tšusumetso ho li-neurons maemong a hypoxia. Piracetam, encephabol, nootropil, bonolo e ntlafatsa mekhoa ea metabolic bokong, e thibela ho theoloa ha metheho ea mahala, e fokotsa ho kopana ha methapo ea methapo e mengata haholo, e felise spasm ea masapo, e bile le phello ea vasodilating.

Ho beoa ha lithethefatsi tsa nootropic ho ka ntlafatsa mohopolo le ho tsepamisa mohopolo, ho eketsa ts'ebetso ea kelello le ho hanyetsa khatello ea maikutlo. Ka ho fokotseha ha mohopolo le bokhoni ba ho bona tlhaiso-leseling, Semax, Cerebrolysin, Cortexin lia bontšoa.

Ho bohlokoa hore kalafo ka li-neuroprotectors e etsoe ka nako e telele, hobane phello ea boholo ba tsona e etsahala libeke tse 3-4 kamora ho qala ha moriana. Hangata, infusions ea methapo ea lithethefatsi e fanoa, ebe e nkeloa sebaka ke tsamaiso ea molomo. Ho sebetsa hantle ha kalafo ea neuroprotective ho matlafatsoa ke ho haptjoa ha li-complexes tsa multivitamin tse nang le livithamini tsa B, nicotinic le ascorbic acid.

Ntle le lihlopha tsena tsa lithethefatsi, bakuli ba bangata ba hloka ts'ebeliso ea li-antiplatelet agents le anticoagulantshobane thrombosis ke e 'ngoe ea lisosa tsa mantlha tsa likotsi tsa methapo e tsoelang pele khahlanong le semelo sa DEP. Ho ntlafatsa likarolo tsa mali tsa rheological tsa mali le ho fokotsa pono ea eona, li-aspirin ka tekanyetso e nyane (thrombo ACC, cardiomagnyl), ticlide e loketse, empa warfarin, clopidogrel e ka laeloa tlasa tlhahlobo ea mali ea kamehla. The normalization ea microcirculation e khothalletsoa ke li-chimes, pentoxifylline, tse bontšitsoeng ho bakuli ba tsofetseng ba nang le mekhoa e tloaelehileng ea atherosclerosis.

Phekolo ea matšoao

Phekolo ea matšoao e reretsoe ho felisa lipontšo tsa kliniki ea methapo. Ho sithabela maikutlo le ho ferekana kelellong ke matšoao a tloaelehileng a DEP, moo ho sebelisoang likhathatso le methapo: valerian, mamawort, relanium, phenazepam, jj, le psychotherapist ba lokela ho beha meriana ena. Bakeng sa khatello ea maikutlo, li-antidepressants li bontšoa (Prozac, Melipramine).

Mathata a amanang le ho sisinyeha a hloka ho phekoloa ka 'mele le ho silila, ka ho tseba hore na ho beoa joang ka mokokotlo, hermondos, sermion. Matšoao a bohlale bo sa senyeheng, mohopolo, tlhokomelo e lokisoa ka ho sebelisa li-nootropics tse boletsoeng ka holimo le li-neuroprotectors.

Phekolo ea kalafo

Ts'ebetsong e matla ea tsoelo-pele ea DEP, ha tekanyo ea ho fokotseha ha methapo ea mali ea boko e fihla ho 70% kapa ho feta, maemong ao mokuli a seng a bile le mathata a phallo ea mali bokong, ho ka etsoa opereishene - endarterectomy, stent, anastomoses.

Prognosis bakeng sa tlhahlobo ea lefu la DEP

Dyscirculatory encephalopathy ke e 'ngoe ea maloetse a nyahamisang bokowa bo ka thehwa mokhatlong o itseng oa bakuli. Ehlile, mohatong oa pele oa tšenyo ea boko, ha phekolo ea lithethefatsi e sebetsa mme ho sa hlokahale hore ho be le phetoho mosebetsing oa motho, bokooa ha bo lumelloe, hobane lefu ha le lekanye bophelo.

Ka nako e ts'oanang, encephalopathy e matla mme, haholo, lefu la mokokotlo, joalo ka pontšo e feteletseng ea ischemia ea mokokotlo, e hloka hore mokuli a amoheloe a holofetse, kaha a sa khone ho etsa mesebetsi ea mosebetsi mme maemong a mang a hloka tlhokomelo le thuso bophelong ba letsatsi le letsatsi.Taba ea ho abela sehlopha se itseng sa bokooa e rarolloa ke khomishene ea litsebi ea lingaka tsa maemo a fapaneng a ipapisitseng le tekanyo ea tlolo ea litsebo tsa mosebetsi le boitlhokomelo.

Tlhahlobo ea mantlha ea DEP e tebile, empa ha e na tšepo.

Ka ho lemoha ha methapo ea methapo le ts'ebetso ea bongaka e qalang ka nako e loketseng, u ka phela lilemo tse fetang leshome le metso e 'meli, tse ke keng tsa buuoa ka' dementia e matla ea methapo. '

Ramatiki e mpefala le ho feta haeba mokuli ea nang le DEP a ba le mathata a mangata a khatello ea mali le lipontšo tse mpe tsa mathata a phallo ea mali.

Video: thuto ho DEP - tlhahlobo ea bongaka, degree, sebopeho

Mohato oa 1: lefa puisano u sebelisa foromo → Mohato oa 2: kamora tefo botsa potso ea hau ka foromo e ka tlase ↓ Mohato 3: Ho feta moo, u ka leboha setsebi ka tefo e 'ngoe bakeng sa tefiso e tlamang

Lefu lefe kapa lefe la boko le kotsi ho batho, hobane le na le kotsi ea ho holofala esita le lefu. Haeba re bua ka boemo bo tebileng joalo ka dyscirculatory encephalopathy ea degree ea 2, hangata lingaka li fana ka tlhahiso ea morao-rao e nyahamisang. Ka nts'etsopele ea eona e tsoetseng pele, matšoao a joalo ka bohlale bo fokotsehileng, tahlehelo ea taolo holim'a boitšoaro ba motho, hammoho le ho ts'oaroa ha mofuta oa sethoathoa hoa hlaha.

Ha ho khonehe ho felisa lefu lena ka ho felletseng, leha ho le joalo, kalafo e tlang ka nako e ka tlosa lipontšo tsa eona tse kotsi, ea thibela tsoelo-pele le ho khutlisa mesebetsi e tloaelehileng ea motho.

Mabaka a ntlafatso

Discirculatory encephalopathy ha e itlele feela ka boyena - ke phepelo ea mafu a mang. Lingaka li re ho holofala ha motho le hona ke sephetho sa hore qalong ho ba le li-syndromes, eseng boemo bo joalo ba bophelo. Ponahatso e atileng haholo ke atherosulinotic encephalopathy, e nang le thuto e telele e telele le ho senyeha hanyane ka hanyane bophelong ba mokuli, leha e le khahlanong le semelo sa kalafo e matla.

Khafetsa, matšoao a khatello ea methapo ea kutlo le 'ona a fetoha encephalopathy - ntlheng ena, lingaka hangata li fana ka tlhabollo e ntle ka monyetla oa ntlafatso e kholo maemong a bophelo, haeba kalafo e laetsoe ka nako. Haeba motho a e-na le motsoako oa atherosulinosis le khatello ea mali, sena se lebisa ho discirculatory encephalopathy ka monyetla oa 90%. Maemong ana, ba bua ka lefu le nang le tlhaho e tsoakaneng - tlhahlobo ea lona le kalafo hangata li thata.

Ntle le mafu ana, encephalopathy e ka ba teng:

• liphetoho tse tsamaeang le 'mele lihokahaneng tse sebetsanang,
• mafu a tebileng a mali
• vasculitis (ho ruruha ha methapo),
• khokahano ea venous ea mali bokong,
• vegetovascular dystonia,
• mathata a hemodynamic.

Ho sa tsotelehe mofuta oa discirculatory encephalopathy, e bonahala ka tsela e tšoanang. Mafu ana a baka tlala ea kelello ea oksijene, e lateloang ke ho senngoa hoa lisele tsa eona le phetoho ea methapo ea methapo. Ho na le matšoao a matla a sa fetoheng a ka etsang hore motho a ee ngakeng. Ho hlakile hore ho tlosa boemo bo joalo ka litlhare tsa setso ho ke ke ha sebetsa - mokuli o hloka thuso ea maemo a tšohanyetso.

Setšoantšo sa tliliniki sa encephalopathy discirculatory

Atherosclerotic, hypertensive, mchanganyiko (atherosulinosis le arterial hypertension), hammoho le venous encephalopathy, lia khetholoha.

Dyscirculatory atherosulinotic encephalopathy e atile haholo. Mehato e meraro ea encephalopathy e khetholloa.

• Mothati oa I - o hlahisitsoe ka mokhoa o itekanetseng. E bonahatsoa ke cerebrosthenic syndrome (tahlehelo ea memori, ho se tsitse maikutlong, ho se ts'oanehe, hlooho, ho se sebetse hantle), mefuta e fapaneng ea li-syndromes tsa psychopathological: astheno-depression, asthenoipochondria, paranoia, affidence. Matšoao a sa sisinyeheng a methapo ea kutlo ha a bonoe, empa ho ba bonolo ha nakoana, mathata a paroxysmal a khonahala. Mokhahlelong oa pele oa discirculatory encephalopathy, mofuta oa hyperdynamic oa ho holisa tsoekere, o bonahatsoang ke disinhibition, thabo, ho hloka boroko, ho hloka maikutlo le boroko bo tšoenyang.
• Mothati oa II - o bonts'itsoe (o filoe tse ling). Liphetoho tsa sebopeho sa organic lia eketseha, matšoao ha a be matla le ho feta, empa a ba a phehella le ho feta. Ho opeloa ke hlooho ho batla ho lula ho le joalo, lerata le phehellang le hlaha hloohong, psychopathological syndromes ea teba, letsoalo le fetoha hypodynamic (lethargy, mokhathala, ho lla, moea o sithabetsang, ho fokotsa tlhokomelo, ho lahleheloa ke kelello, ho hloka boroko). Ho haelloa ke "cerebrovascular" ho boima ho isa ho lits'ilisong tse fokolang tsa methapo ea boko, ha ho ntse ho thehoa mafu a amanang le methapo ea kutlo. Khafetsa, pseudobulbar, amiostatic syndromes, hammoho le ho haella ha pyramidal (dysarthria, dysphonia, reflexes ea molomo automatism, ho senyeha ha sefahleho se tlase le leleme - ho kheloha butle butle, hypomimicity, ho satalla, morethetho o matla oa matsoho le hlooho, ho thothomela hofeta hangata, ho sisinyeha ho hoholo, ho thothomela hofihlela hangata. matsoho, ho senyeha ha pono ka mokhoa oa lifoto, tahlehelo ea litsebe, ho ts'oaroa ha epileptiform Jackson, anisoreflexia, pathological flexor reflexes).
• Mothati oa III - o phatlalalitsoe (o kopantsoe). E tšoauoa ka liphetoho tse tebileng tsa morphological bokong ba boko, sebopeho sa "lacunae" sa "cortex", "grrular atrophy" Ka CG le MRI, libaka tse nang le bothata bo fokolisitsoeng ba lintho tse tšoeu tse potolohileng li-ventricle tsa morao le likarolong tse tlase tsa methapo ea methapo ea methapo (leukoariosis) e ikemiselitsoe.

Ho tebisa le ho mpefala ha matšoao a seng a ntse a bonoa hoa bonahala, matšoao a ho senya karolo efe kapa efe ea boko a qala ho ba teng: mathata a pelo, ho nyekeloa, ho sitoa ho bua, bothata ba ho hopola, ho nts'etsopele ha methapo ea kutlo. Hangata ho feta mohatong oa II, sethoathoa sa sethoathoa sea hlaha. Liphetoho tse ngata tsa kelello hangata li lebisa ho ho fokola hoa maikutlo. Hammoho le liphetoho tse matla tsamaisong ea methapo, boemo bo tloaelehileng ba somatic le bona boa sithabeha. Mokhahlelong ona, ho ka hlaha kotsi e mpe ea 'mele e ka bang teng ka nako e itseng.

Hypertensive dyscirculatory encephalopathy, ho fapana le atherosulinotic encephalopathy, e qala ho tloha bonyenyaneng, e tsoela pele ka potlako, haholoholo khahlano le semelo sa khatello ea methapo ea methapo, matšoao a macha a hlaha hangata haholo nakong ea likhohlano. Har'a liphetoho tsa kelello, ts'oaetso, ho ruruha, ho hloka botsitso maikutlong, ho hlahella.

Motsoako oa 'mele o kopantsoeng le discepulopathy. E tšoauoa ka ho kopantsoe ha atherosselotic le hypertensive encephalopathy.

Venous encephalopathy ke mofuta o ikhethileng oa discirculatory encephalopathy mme e etsahala maemong a lebisang ho khathatsong e sa feleng ea venous outfall ho tsoa ho cranial cavity (mathata a mantlha a taolo ea molumo oa lentsoe la venous ke cerebral venous dystonia, lefu la pelo la pulmonary, craniostenosis, compression ka extraptic le intracranial). Khokahano e mpe ea 'mele le "edema" e sa foleng e ba teng botebong ba pelo. Matšoao a sa foleng a remitting hypertension syndrome a hlaha setšoantšong sa kliniki: hlooho tse bobebe tse hatellang, tse holofalitsoeng ke ho khohlela, ho thimola, ho sithabetsa, hangata ho ba le mokhoa o sa tsebeng ho bua, ho ferekana, ho hloka thahasello, ho hloka boroko, matšoao a ho senyeha ha ts'ebetso ea kelello a tlase hangata, maemong a tebileng, ho nyekeloa ke pelo, ho hlatsa, tšubuhlellano ho Fundus, lipontšo tsa meningeal.

Tlhahlobo e khethollang ea encephalopathy discirculatory

Mokhahlelong oa pele, dyscirculatory encephalopathy e lokela ho khetholoha ho tsoa ho neurosis (tšebetso ea ho senyeha) le autonomic-vascular dystonia, ka mekhahlelo ea kamora - ho tloha sebopeho sa volumetric sa boko (tumor, cyst), parkinsonism ea non-vascular origin (postencephalitic, toxic, tumor, from presinsal's lefu la presinsal). le 'dementia' ea senile, methati ea pele ea lefu la Alzheimer's le Peak, lefu la sethoathoa. Mefuta e meng ea lefu la pelo ea methapo (lefu la Binswanger) le eona e lokela ho khetholloa ho tsoa ho Schiller's periaxial encephalitis.

Phekolo ea dyscirculatory encephalopathy

Ho sebelisoa lihlopha tse latelang tsa lithethefatsi:

- Lithethefatsi tsa Hypolipidemic le hypocholesterolemic (miskleron kapa clofibrate, polysponin, tribusponin, cetamiphene, konokono, phytin, polyunsaturated fatty acids, lipamide le methionine, jj) li bontšoa bakeng sa atherosranceotic encephalopathy.
- Lithethefatsi tsa antihypertensive (enap, clonidine, prestarium, atenolol, capoten, arifon, vincopan) li bontšoa khatello ea mali e phahameng.
- Lithethefatsi tsa Phlebotonic (eskusan, esflazide, Troxevasin, anavenol, aminophylline, redergin, iv cocarboxylase, glivenol, caffeine) li bontšoa bakeng sa discosis ea venous.
- Angioprotectors (parmidin, anginin, etamzilate - e bontšitsoe khatello ea mali e phahameng, ascorutin, vazobral).
- Li-discgregants (curantyl, aspirin ka litekanyetso tse nyane, trental, sermion, anturan, ticlide) li sebelisetsoa ho ntlafatsa microcirculation le ho thibela microthrombosis.
- Lithethefatsi tse kenyang letsoho, ho kenyelletsa le bahanyetsi ba khalsiamo (cavinton, vincamine, compliment, cinnarizine kapa stugeron, nifedipine, flunarizine, halidor, no-spa), - ho ntlafatsa phallo ea mali a likhoele, ho thibela angiospasm.
- Dihydrogenated ergot alkaloids (dihydroergotamine e bontšoa bakeng sa khatello ea methapo ea kutlo, dihydroergotoxin bakeng sa khatello e phahameng ea mali) e na le phello e mpe, nootropic, le limela.
- Nootropics (piracetam, encephabol kapa pyriditol, aminalon, picamilon, pantogam, cerebrolysin, glutamic acid, glycine, acefen).
- Lithethefatsi tsa Metabolic le li-antioxidants (livithamini B1, B6, ascorbic acid, retinol, aevit, lipoic acid, tocopherol, emoxipin, phosphaden, ATP, actovegin, lipostabil, pantothenic acid).
- Lithethefatsi tsa Sedative le tse ling tsa psychotropic (li-tranquilizer, li-antidepressants, li-antipsychotic - tse nang le syndromes tse matla tsa psychopathological).
- Lithethefatsi tsa anticholinesterase (galantamine, stefaglabrin, sanguirytrin, amiridine) li bontšoa bakeng sa 'dementia ea methapo,'? -Adrenoblockers (obzidan, Wisdomken, trazikor) joalo ka lithethefatsi tse nootropic le tse mpe, li-adaptogens (eleutherococcus, saparal ea litekanyetso tse nyane, dabazole encephalopathy ho fokotsa mafu a amanang le psycho-vegetative.
- Mekhoa ea physiotherapeutic e sebelisoa (likhalase tsa galvanic ho ea ka Shcherbak, electrophoresis ho ea sebakeng sa molala oa aminophylline le magnesium sulfate, electrophoresis ho ea ka Bourguignon ea noshpa, electros sleep, oxygenation ea hyperbaric, mesifa ea sebaka sa molaleng, joalo-joalo).

Home About Encephalopathy Classified Atherosulinotic encephalopathy: lisosa, matšoao, likarolo tsa kalafo le tlholeho

Atherosclerotic encephalopathy: lisosa, matšoao, likarolo tsa kalafo le ho ruruha

Encephalopathy e bolela maloetse ao e leng litholoana tsa methapo ea methapo ea mmele 'meleng. Atherosclerotic encephalopathy ke lebitso le khutsufalitsoeng la sebopeho, lebitso "khalemelo" le lokela ho eketsoa ho lona, ​​hobane atherosclerosis ea methapo ea methapo ke ts'ebetso e sa foleng mme ka nako e ts'oanang e le sesosa se tobileng sa atherosulinotic encephalopathy.

Atherosulinosis ea methapo ea methapo e fetoha ka mabaka a 'maloa, empa ea mantlha ke tlolo ea metabolism ea lipid. Maemo a tšoanang a bonoa ho batho ba batenya ba nang le bothata ba metabolic, hammoho le ho bakuli ba tsofetseng ba nang le metabolism ba ferekaneng haholo ka lebaka la khaello ea phepo ea mali, mme eseng ka lebaka la khaello ea phepo e nepahetseng le tlhekefetso ea lijo tse mafura.

Atherosclerosis le encephalopathy: likamano ke eng?

Ho ka etsahalang, batho ba etsang sebe ka ho lula ba khomarela poleiti e nang le maoto a khoho a mafura kapa litapole tse halikiloeng le bona ha ba tsebe hore sena se ka lebisa ho atherosranceotic encephalopathy le mathata a kelello. Empa ehlile ho joalo.Ha nako e ntse e tsamaea, 'mele o lahleheloa ke bokhoni ba ho hlakola le ho monya mafura ka bongata, e leng se lebisang keketsong ea cholesterol ea mali. Ka lebaka leo, li-cholesterol plaque li thea marakong a methapo ea mali, 'me li koahela karolo ea leseli la methapo. Psychology ena e bitsoa atherosclerosis, ka lebaka leo lithaelese tsa boko li kenang phepelong e sa lekaneng ea mali. Ka lebaka leo, boko bo boetse bo na le bothata ba ho haella ha oksijene, eo le eona e tsamaisoang ke 'mele ka methapo ea mali.

Likarolo tsa setšoantšo sa kliniki

Atherosclerotic encephalopathy e ka ba le matšoao a tšoanang le mefuta eohle e meng ea lefu lena. Haholo-holo ha ho tluoa mokhahlelong oa pele (oa pele), mme ts'ebetso ea ts'ebetso ea methapo ea methapo e qala ho sebelisoa. Hangata, bakuli ba tletleba ka:

- Ho eketsa mokhathala, ho kula le ho fokola ka linako tse itseng.

- Hlooho ea hlooho, ho tsekela.

- Ho lebala, ho se tsotelle. Ka nako e 'ngoe bakuli ha ba bone lintho tse totobetseng, ba oela ho batho, ba kokota fatše kapa ba sutumelletsa lintho tse kholo.

- Mathata a ho robala ho eng kapa eng ea lipontšo tsa bona.

- Ho teneha ho eketsehileng, khatello ea maikutlo, khatello ea maikutlo.

- Ho koaloa, mekhoa ea pele ea manic syndrome.

Atherosclerotic encephalopathy ea degree ea 2 e tšoauoa, pele, ka ho teba ho hoholo ha matšoao ana, mme ka bobeli, e qala ho khetholloa ka matšoao a susumetsoang ke atherosclerosis. Matšoao ana a kenyelletsa:

- Melemo ea ho imeloa hloohong.

- Nausea, foggy state.

- Ho ikutloa u "li-goosebumps" tse pholileng holim 'a matsoho le maoto.

Khafetsa, matšoao a boemo ba pele ho stroke a hlaha: letlalo le boreleli kapa le bofubelu, khatello e phahameng ea mali, le voltage e matla.

Litšobotsi tsa kalafo

Phekolo ea atherosclerotic encephalopathy e na le mehato e reretsoeng ho phekola sesosa sa boteng. Sena se bolela hore ho bohlokoa ho latela mokhoa oa ho ja o sa kenyeng tšebeliso ea mafura, hammoho le ho sebelisa meriana. Ho na le mekhoa e meng ea kalafo, empa kaofela ha eona e khethoa feela ke ngaka e eang mme nako le nako kamora tlhahlobo e felletseng ea 'mele.

Ho bohlokoa ho khetholla boteng ba maloetse a kopaneng, ho bokella anamnesis ka nepo le ho rala moralo oa kalafo o nahanela litšobotsi tsohle tsa mokuli.

Setsing sa rona sa bongaka, u emetse ho amoheloa ha litsebi tse tšoanelehang, tse khetholloang ke litsebo tse phahameng tsa bongaka. Lisebelisoa tsa tlhahlobo ea lihlahisoa tse sebelisitsoeng bakeng sa tlhatlhobo maemong a setsi sa rona se re lumella ho fihlela liqeto tse lekaneng tse lebisang tlhahlobisong e nepahetseng ka ho fetesisa.

Haeba ho hlokahala, re fana ka maemo a ho ema bakeng sa bakuli, re boetse re na le libaka tsa mahala ntlong e nang le bolulo e loketseng moo o ka fumanang litšebeletso tsa boemo bo holimo bakeng sa kalafo le ho khutlisa bophelo bo botle.

Se ke oa itšenyetsa bophelo bo tloaelehileng, etsa tlhahlobo e nakong le ho latela likeletso tsa litsebi!

Encirchalopathy discirculatory

Discirculatory encephalopathy ke motsoako oa liphetoho tse tsoelang pele tsa 'mele liseleng tsa boko ka lebaka la mathata a fapa-fapaneng a "cerebrovascular".

Setšoantšo sa tliliniki sa encephalopathy discirculatory

Atherosclerotic, hypertensive, mchanganyiko (atherosulinosis le arterial hypertension), hammoho le venous encephalopathy, lia khetholoha.

Dyscirculatory atherosulinotic encephalopathy e atile haholo. Mehato e meraro ea encephalopathy e khetholloa.

• Mothati oa I - o hlahisitsoe ka mokhoa o itekanetseng. E bonahatsoa ke cerebrosthenic syndrome (tahlehelo ea memori, ho se tsitse maikutlong, ho se ts'oanehe, hlooho, ho se sebetse hantle), mefuta e fapaneng ea li-syndromes tsa psychopathological: astheno-depression, asthenoipochondria, paranoia, affidence.Matšoao a sa sisinyeheng a methapo ea kutlo ha a bonoe, empa ho ba bonolo ha nakoana, mathata a paroxysmal a khonahala. Mokhahlelong oa pele oa discirculatory encephalopathy, mofuta oa hyperdynamic oa ho holisa tsoekere, o bonahatsoang ke disinhibition, thabo, ho hloka boroko, ho hloka maikutlo le boroko bo tšoenyang.
• Mothati oa II - o bonts'itsoe (o filoe tse ling). Liphetoho tsa sebopeho sa organic lia eketseha, matšoao ha a be matla le ho feta, empa a ba a phehella le ho feta. Ho opeloa ke hlooho ho batla ho lula ho le joalo, lerata le phehellang le hlaha hloohong, psychopathological syndromes ea teba, letsoalo le fetoha hypodynamic (lethargy, mokhathala, ho lla, moea o sithabetsang, ho fokotsa tlhokomelo, ho lahleheloa ke kelello, ho hloka boroko). Ho haelloa ke "cerebrovascular" ho boima ho isa ho lits'ilisong tse fokolang tsa methapo ea boko, ha ho ntse ho thehoa mafu a amanang le methapo ea kutlo. Khafetsa, pseudobulbar, amiostatic syndromes, hammoho le ho haella ha pyramidal (dysarthria, dysphonia, reflexes ea molomo automatism, ho senyeha ha sefahleho se tlase le leleme - ho kheloha butle butle, hypomimicity, ho satalla, morethetho o matla oa matsoho le hlooho, ho thothomela hofeta hangata, ho sisinyeha ho hoholo, ho thothomela hofihlela hangata. matsoho, ho senyeha ha pono ka mokhoa oa lifoto, tahlehelo ea litsebe, ho ts'oaroa ha epileptiform Jackson, anisoreflexia, pathological flexor reflexes).
• Mothati oa III - o phatlalalitsoe (o kopantsoe). E tšoauoa ka liphetoho tse tebileng tsa morphological bokong ba boko, sebopeho sa "lacunae" sa "cortex", "grrular atrophy" Ka CG le MRI, libaka tse nang le bothata bo fokolisitsoeng ba lintho tse tšoeu tse potolohileng li-ventricle tsa morao le likarolong tse tlase tsa methapo ea methapo ea methapo (leukoariosis) e ikemiselitsoe.

Ho tebisa le ho mpefala ha matšoao a seng a ntse a bonoa hoa bonahala, matšoao a ho senya karolo efe kapa efe ea boko a qala ho ba teng: mathata a pelo, ho nyekeloa, ho sitoa ho bua, bothata ba ho hopola, ho nts'etsopele ha methapo ea kutlo. Hangata ho feta mohatong oa II, sethoathoa sa sethoathoa sea hlaha. Liphetoho tse ngata tsa kelello hangata li lebisa ho ho fokola hoa maikutlo. Hammoho le liphetoho tse matla tsamaisong ea methapo, boemo bo tloaelehileng ba somatic le bona boa sithabeha. Mokhahlelong ona, ho ka hlaha kotsi e mpe ea 'mele e ka bang teng ka nako e itseng.

Hypertensive dyscirculatory encephalopathy, ho fapana le atherosulinotic encephalopathy, e qala ho tloha bonyenyaneng, e tsoela pele ka potlako, haholoholo khahlano le semelo sa khatello ea methapo ea methapo, matšoao a macha a hlaha hangata haholo nakong ea likhohlano. Har'a liphetoho tsa kelello, ts'oaetso, ho ruruha, ho hloka botsitso maikutlong, ho hlahella.

Motsoako oa 'mele o kopantsoeng le discepulopathy. E tšoauoa ka ho kopantsoe ha atherosselotic le hypertensive encephalopathy.

Venous encephalopathy ke mofuta o ikhethileng oa discirculatory encephalopathy mme e etsahala maemong a lebisang ho khathatsong e sa feleng ea venous outfall ho tsoa ho cranial cavity (mathata a mantlha a taolo ea molumo oa lentsoe la venous ke cerebral venous dystonia, lefu la pelo la pulmonary, craniostenosis, compression ka extraptic le intracranial). Khokahano e mpe ea 'mele le "edema" e sa foleng e ba teng botebong ba pelo. Matšoao a sa foleng a remitting hypertension syndrome a hlaha setšoantšong sa kliniki: hlooho tse bobebe tse hatellang, tse holofalitsoeng ke ho khohlela, ho thimola, ho sithabetsa, hangata ho ba le mokhoa o sa tsebeng ho bua, ho ferekana, ho hloka thahasello, ho hloka boroko, matšoao a ho senyeha ha ts'ebetso ea kelello a tlase hangata, maemong a tebileng, ho nyekeloa ke pelo, ho hlatsa, tšubuhlellano ho Fundus, lipontšo tsa meningeal.

Tlhahlobo e khethollang ea encephalopathy discirculatory

Mokhahlelong oa pele, dyscirculatory encephalopathy e lokela ho khetholoha ho tsoa ho neurosis (tšebetso ea ho senyeha) le autonomic-vascular dystonia, ka mekhahlelo ea kamora - ho tloha sebopeho sa volumetric sa boko (tumor, cyst), parkinsonism ea non-vascular origin (postencephalitic, toxic, tumor, from presinsal's lefu la presinsal). le 'dementia' ea senile, methati ea pele ea lefu la Alzheimer's le Peak, lefu la sethoathoa. Mefuta e meng ea lefu la pelo ea methapo (lefu la Binswanger) le eona e lokela ho khetholloa ho tsoa ho Schiller's periaxial encephalitis.

Phekolo ea dyscirculatory encephalopathy

Ho sebelisoa lihlopha tse latelang tsa lithethefatsi:

- Lithethefatsi tsa Hypolipidemic le hypocholesterolemic (miskleron kapa clofibrate, polysponin, tribusponin, cetamiphene, konokono, phytin, polyunsaturated fatty acids, lipamide le methionine, jj) li bontšoa bakeng sa atherosranceotic encephalopathy.
- Lithethefatsi tsa antihypertensive (enap, clonidine, prestarium, atenolol, capoten, arifon, vincopan) li bontšoa khatello ea mali e phahameng.
- Lithethefatsi tsa Phlebotonic (eskusan, esflazide, Troxevasin, anavenol, aminophylline, redergin, iv cocarboxylase, glivenol, caffeine) li bontšoa bakeng sa discosis ea venous.
- Angioprotectors (parmidin, anginin, etamzilate - e bontšitsoe khatello ea mali e phahameng, ascorutin, vazobral).
- Li-discgregants (curantyl, aspirin ka litekanyetso tse nyane, trental, sermion, anturan, ticlide) li sebelisetsoa ho ntlafatsa microcirculation le ho thibela microthrombosis.
- Lithethefatsi tse kenyang letsoho, ho kenyelletsa le bahanyetsi ba khalsiamo (cavinton, vincamine, compliment, cinnarizine kapa stugeron, nifedipine, flunarizine, halidor, no-spa), - ho ntlafatsa phallo ea mali a likhoele, ho thibela angiospasm.
- Dihydrogenated ergot alkaloids (dihydroergotamine e bontšoa bakeng sa khatello ea methapo ea kutlo, dihydroergotoxin bakeng sa khatello e phahameng ea mali) e na le phello e mpe, nootropic, le limela.
- Nootropics (piracetam, encephabol kapa pyriditol, aminalon, picamilon, pantogam, cerebrolysin, glutamic acid, glycine, acefen).
- Lithethefatsi tsa Metabolic le li-antioxidants (livithamini B1, B6, ascorbic acid, retinol, aevit, lipoic acid, tocopherol, emoxipin, phosphaden, ATP, actovegin, lipostabil, pantothenic acid).
- Lithethefatsi tsa Sedative le tse ling tsa psychotropic (li-tranquilizer, li-antidepressants, li-antipsychotic - tse nang le syndromes tse matla tsa psychopathological).
- Lithethefatsi tsa anticholinesterase (galantamine, stefaglabrin, sanguirytrin, amiridine) li bontšoa bakeng sa 'dementia ea methapo,'? -Adrenoblockers (obzidan, Wisdomken, trazikor) joalo ka lithethefatsi tse nootropic le tse mpe, li-adaptogens (eleutherococcus, saparal ea litekanyetso tse nyane, dabazole encephalopathy ho fokotsa mafu a amanang le psycho-vegetative.
- Mekhoa ea physiotherapeutic e sebelisoa (likhalase tsa galvanic ho ea ka Shcherbak, electrophoresis ho ea sebakeng sa molala oa aminophylline le magnesium sulfate, electrophoresis ho ea ka Bourguignon ea noshpa, electros sleep, oxygenation ea hyperbaric, mesifa ea sebaka sa molaleng, joalo-joalo).

Home About Encephalopathy Classified Atherosulinotic encephalopathy: lisosa, matšoao, likarolo tsa kalafo le tlholeho

Atherosclerotic encephalopathy: lisosa, matšoao, likarolo tsa kalafo le ho ruruha

Encephalopathy e bolela maloetse ao e leng litholoana tsa methapo ea methapo ea mmele 'meleng. Atherosclerotic encephalopathy ke lebitso le khutsufalitsoeng la sebopeho, lebitso "khalemelo" le lokela ho eketsoa ho lona, ​​hobane atherosclerosis ea methapo ea methapo ke ts'ebetso e sa foleng mme ka nako e ts'oanang e le sesosa se tobileng sa atherosulinotic encephalopathy.

Atherosulinosis ea methapo ea methapo e fetoha ka mabaka a 'maloa, empa ea mantlha ke tlolo ea metabolism ea lipid.Maemo a tšoanang a bonoa ho batho ba batenya ba nang le bothata ba metabolic, hammoho le ho bakuli ba tsofetseng ba nang le metabolism ba ferekaneng haholo ka lebaka la khaello ea phepo ea mali, mme eseng ka lebaka la khaello ea phepo e nepahetseng le tlhekefetso ea lijo tse mafura.

Atherosclerosis le encephalopathy: likamano ke eng?

Ho ka etsahalang, batho ba etsang sebe ka ho lula ba khomarela poleiti e nang le maoto a khoho a mafura kapa litapole tse halikiloeng le bona ha ba tsebe hore sena se ka lebisa ho atherosranceotic encephalopathy le mathata a kelello. Empa ehlile ho joalo. Ha nako e ntse e tsamaea, 'mele o lahleheloa ke bokhoni ba ho hlakola le ho monya mafura ka bongata, e leng se lebisang keketsong ea cholesterol ea mali. Ka lebaka leo, li-cholesterol plaque li thea marakong a methapo ea mali, 'me li koahela karolo ea leseli la methapo. Psychology ena e bitsoa atherosclerosis, ka lebaka leo lithaelese tsa boko li kenang phepelong e sa lekaneng ea mali. Ka lebaka leo, boko bo boetse bo na le bothata ba ho haella ha oksijene, eo le eona e tsamaisoang ke 'mele ka methapo ea mali.

Likarolo tsa setšoantšo sa kliniki

Atherosclerotic encephalopathy e ka ba le matšoao a tšoanang le mefuta eohle e meng ea lefu lena. Haholo-holo ha ho tluoa mokhahlelong oa pele (oa pele), mme ts'ebetso ea ts'ebetso ea methapo ea methapo e qala ho sebelisoa. Hangata, bakuli ba tletleba ka:

- Ho eketsa mokhathala, ho kula le ho fokola ka linako tse itseng.

- Hlooho ea hlooho, ho tsekela.

- Ho lebala, ho se tsotelle. Ka nako e 'ngoe bakuli ha ba bone lintho tse totobetseng, ba oela ho batho, ba kokota fatše kapa ba sutumelletsa lintho tse kholo.

- Mathata a ho robala ho eng kapa eng ea lipontšo tsa bona.

- Ho teneha ho eketsehileng, khatello ea maikutlo, khatello ea maikutlo.

- Ho koaloa, mekhoa ea pele ea manic syndrome.

Atherosclerotic encephalopathy ea degree ea 2 e tšoauoa, pele, ka ho teba ho hoholo ha matšoao ana, mme ka bobeli, e qala ho khetholloa ka matšoao a susumetsoang ke atherosclerosis. Matšoao ana a kenyelletsa:

- Melemo ea ho imeloa hloohong.

- Nausea, foggy state.

- Ho ikutloa u "li-goosebumps" tse pholileng holim 'a matsoho le maoto.

Khafetsa, matšoao a boemo ba pele ho stroke a hlaha: letlalo le boreleli kapa le bofubelu, khatello e phahameng ea mali, le voltage e matla.

Litšobotsi tsa kalafo

Phekolo ea atherosclerotic encephalopathy e na le mehato e reretsoeng ho phekola sesosa sa boteng. Sena se bolela hore ho bohlokoa ho latela mokhoa oa ho ja o sa kenyeng tšebeliso ea mafura, hammoho le ho sebelisa meriana. Ho na le mekhoa e meng ea kalafo, empa kaofela ha eona e khethoa feela ke ngaka e eang mme nako le nako kamora tlhahlobo e felletseng ea 'mele.

Ho bohlokoa ho khetholla boteng ba maloetse a kopaneng, ho bokella anamnesis ka nepo le ho rala moralo oa kalafo o nahanela litšobotsi tsohle tsa mokuli.

Setsing sa rona sa bongaka, u emetse ho amoheloa ha litsebi tse tšoanelehang, tse khetholloang ke litsebo tse phahameng tsa bongaka. Lisebelisoa tsa tlhahlobo ea lihlahisoa tse sebelisitsoeng bakeng sa tlhatlhobo maemong a setsi sa rona se re lumella ho fihlela liqeto tse lekaneng tse lebisang tlhahlobisong e nepahetseng ka ho fetesisa.

Haeba ho hlokahala, re fana ka maemo a ho ema bakeng sa bakuli, re boetse re na le libaka tsa mahala ntlong e nang le bolulo e loketseng moo o ka fumanang litšebeletso tsa boemo bo holimo bakeng sa kalafo le ho khutlisa bophelo bo botle.

Se ke oa itšenyetsa bophelo bo tloaelehileng, etsa tlhahlobo e nakong le ho latela likeletso tsa litsebi!

Encirchalopathy discirculatory

Encirchalopathy discirculatory - butle-butle e tsoelang pele phetoho ea manyolo linthong tsa bokong e etsoang khahlano le semelo sa mafu a fapaneng a methapo - atherosulinosis, khatello ea mali, jj.Ho latela sesosa sa thuto ea tlhaho, atherosselotic, hypertonic le mefuta e meng ea encephalopathy lia khetholoha.
Discirculatory encephalopathy, e hlahang mefuteng e fapaneng ea mafu, e tšoana hantle le lipontšo tsa kliniki mme ho sa le joalo, likarolo tse ling tsa eona li itšetlehile ka tšusumetso ea kelello.

Lipontšo tsa kliniki tsa dyscirculatory encephalopathy

Matšoao a pele a kliniki a atherosclerotic discirculatory encephalopathy a bonoa ho batho ba lilemo tse 50-60, ka linako tse ling a le lilemo li 45. Nako ea pele ea lefu lena (sethala I) e tšoauoa ke pseudo-neurasthenic syndrome: ho se tsitse maikutlong, ho teneha, ho lla, ho senyeha ha hlooho, ho opeloa ke hlooho, ho tsekela, likotsi tsa boroko, tinnitus, joalo-joalo. Ho eketseha ha methapo ea mali, ho feto-fetoha ha khatello ea mali hangata ho bonoa. Matšoao a ho senyeha hoa tlhaho ea methapo ea methapo sethaleng sena hangata ha a fumanoe. Ho fundus - ho fokotsa methapo ea methapo ea kutlo. Ts'ebetso ea bakuli e fokotseha nako le nako, kalafo le mehato ea thibelo e ka kenya letsoho pusong e tsitsitseng.
Ka lefu le sa thabiseng la lefu lena, haholo ha lintlha tse fapaneng tsa kantle li sebetsa, matšoao a kliniki a ba matla mme a tsamaellana le sethala sa II discirculatory encephalopathy. Mokhathala, ho opeloa ke hlooho, ho tsekela, ho ts'oaroa ha boroko hoa ts'epa, hangata ho ba le boemo ba ho lemoha. Ho se leka-lekane maikutlong hoa matlafala. Tlhahlobo ea methapo ea kutlo e senola matšoao a mabe a tlhaho: asymmetry ea cranial innervation, tendon reflexes, molumo oa mesifa, matšoao a pherese a pherekano, likhanyetsano tsa subcortical. Tloaelo ea khatello ea maikutlo ea "autonomic vascular lability", e liehang ho hlasela khafetsa, 'me ka mora moo tlhaho ea tlhaho le eona e mpefatsang. Liphetoho tsa kelello hangata li hlokomeloa: mokuli o na le ho itšepa, ho tloaela ho tepella maikutlo, ho ithata, ho hopola lintho tse ngata, haholo-holo bakeng sa liketsahalo tsa hajoale, ts'ebetso, bohato ba pele le ho fokotseha ha ts'ebetso. Liphetoho
ha fundus e khanya, e bakoa ke lefu la methapo ea methapo kapa ea methapo. Ts'ebetso ea bakuli e fokotsehile.
Ha methati ea methapo ea methapo ea methapo ea methapo ea methapo ea methapo e ntse e tsoela pele, mehopolo le tahlehelo ea maikutlo li tsoela pele, menyetla ea lithahasello e ea putlama le dementia e ea hola. Nako ea lefu lena e eketsoa ke likotsi le lichapo tse pheta-phetoang. Boemong ba methapo, sethaleng sena, ho bonoa matšoao a hlakileng a tlhaho: ho haella ha mohloli oa bolulo oa cranial, li-parresis tsa maemo a phahameng, kutloisiso e sa sebetseng, aphatic, vestibular, mathata a cerebellar. Khafetsa ho na le pseudobulbar syndrome, dysphgia, dysargria, dysphagia, hammoho le matšoao a ho buoa ka molomo, ho eketseha ha maikutlo a pharyngeal le mandibular, ho lla ho matla le ho tšeha. Ka tšenyo ea li-node tsa subcortical, ho na le amiostatic syndrome. Liphetoho tse tebileng li hlahella ho fundus sethaleng sena: atherosulinosis - lefu la mokokotlo oa mokokotlo, ka linako tse ling e le letšoao la terata ea koporo le silifera, le khatello ea methapo ea methapo - hypertensive angiosselosis le retinopathy ka tšusumetso ea arteriovenous interways (Salus-Hunn I, II, III), ketsahalo ea Guist . ka linako tse ling hemorrhages.

Ts'oaetso

Haeba re bua ka mohato oa bobeli oa lefu lena, ho tla ba bonolo hore motho a tsebe ho fumana lefu lena.

Khafetsa, matšoao a ka balwa ka kutloisiso ea sebele ea sefahleho sa motho, a senola asymmetry ea hae e bakoang ke ho shoa litho ha mesifa.

Khafetsa, lintho tse tlisoang ke tlhaho ea motho lia shoa, 'me li nkeloa sebaka ke tse ling, ka mohlala, ho nka lifoto kapa ho choachoha matsoho le matsoho.Ka nts'etsopele e tebileng ea mohato oa bobeli oa discepulopathy ea matsoele, litho le matsoho li ka holofala kapa tsa holofala ka ho felletseng.

Ha motho a e-na le lefu le tšimoloho ea tlhaho, ho ka ba le tšoarelo, 'me ea tsebahala ka ho khutlisetsoa hoa motsamao - sena se fetoha lebaka la kopanelo e ikhethileng ea ts'ebetso e etsahalang lijaneng tsa hlooho ea motho.

Ho holofala ho ka bakoa ke tlhaselo ea ischemic, e khetholloang ke ho se sebetse ka nakoana, tahlehelo ea khokahano ka lihora tse 'maloa, pherekano kapa ho hloka tsebo. Leha taba ea hore litlhaselo tsena ke tsa nakoana, ke hore, tse tlang, hangata lipontšo li ka baka tšenyo e felletseng ea karolo e itseng ea boko.

Ho hlahlojoa ha fundus ho bohlokoa haholo, e ho u lumellang ho bona kholo ea methapo e bonts'a ho ruruha ha methapo le methapo ea methapo ea methapo.

Ho fana ka kalafo, lingaka li romela bakuli ba nang le lipelaelo tse belaetsang tsa discirculatory encephalopathy bakeng sa tlhatlhobo e phethahetseng. Mokhoa o ka sehloohong oa tlhahlobo ea mafu ke computer tomography (CT), e bonts'ang ka mokhoa o hlakileng libaka tsa liphetoho tsa methapo 'meleng o mosoeu oa bokong. Tsena tse nang le methapo ea methapo e fokotsitsoeng mohatong oa bobeli hangata li hlophisoa haufi le mochini le mehala e meholo ea litho.

Mokhoa o mong oa ho fumana matšoao a discirculatory encephalopathy ke ka thuto e khethehileng e bitsoang rheoencephalography. Liphetho tsa eona, liphetoho tsa methapo ea methapo tse pheta-pheta setšoantšo sa kliniki ea atherosulinosis le khatello ea mali li latela hantle ka ho hlakileng.

Phekolo e ka boela ea beoa kamora palo e kholo ea mali. Ka discepulopathy encephalopathy, botenya bo bonoa ho eona, ho kopantsoe (ponahalo ea lisekele) tsa lisele tse khubelu tsa mali le liplatelete lia shejoa. Ho latela liphetho tsa lithuto tsa biochemical, u ka bona ho fokotseha ha palo ea lipid tse phahameng haholo le ho eketseha ha palo ea lintho tse nang le letsoalo le tlaase haholo.

Haeba ngaka e bona matšoao ohle a ho ruruha ho ruruha ha methapo ea pelo, o lokela ho nka mehato e potlakileng ho thibela mokuli hore a holofale.

Matšoao a bokuli

Matšoao a discepulopathy encephalopathy a kanna a se hlake haholo. Hoo e ka bang halofo ea batho, litlhaselo tsa nakoana tsa ischemic li etsahala feela ka kholo e kholo ea karolo ea bobeli.

Maemong a joalo, lefu lena le ka fosa ka lebaka la mokhathala o sa feleng, joalo ka ha ho boletsoe ho:

• hlooho e bohloko
• lerata hloohong
• ho hloka boroko
• ho sotleha haholo
• ho se khonehe
• maemo a sithabetsang.

Leha ho le joalo, letšoao la eona la Hall ke phokotseho ea boleng ba memori e sa ikhethang. Ho fapana le sclerosis e tloaelehileng, motho o boloka tsebo eohle ea setsebi mme a ka etsa mosebetsi oa hae ntle le bothata bo fokolang, empa o hasana haholo bophelong ba letsatsi le letsatsi.

Mekhoa ea ts'ehetso ea 'mele

Ho se ho boletsoe ka holimo hore pholiso e felletseng ea motho ea boemong bona ha e khonehe. Leha ho le joalo, kalafo e ka emisa mekhoa e sa fetoheng le ho lelefatsa nako ea bophelo bo tloaelehileng bakeng sa likhoeli le lilemo. E ke ke ea sebetsa ka litlhare tsa setso, hobane ho bohlokoa haholo ho felisa khatello ea mali ea methapo. Mekhoa ea kalafo e lokela ho khetha ngaka e tla fana ka litlhare ho laola khatello ea mali, li-adrenergic blockers le diuretics.

Mokuli ea nang le dyscirculatory encephalopathy ha a lumelloe ho nka joala, ho tsuba, ho bapala lipapali le ho bontša ho ikoetlisa haholo bakeng sa ho qoba tlhaselo ea ischemic.

Ho lokisa bongata ba mali a lipid, ho fanoa ka lithethefatsi tse 'maloa tse laolang tlhahiso ea li-enzymes le li-acid acid. Hangata, lingaka li fana ka lipalo tsa "discirculatory encephalopathy" tse thusang ho etsa hore metabolism e sebetse hantle. Haeba ho na le kotsi ea stenosis (ho koaloa) ha methapo ea mali, ho bontšoa opereishene.

Ha rea ​​lokela ho lebala ka phepelo ea mali ho ea bokong. Mona, litlhare tsa batho le tsona ha li na ho phekoloa, hobane litekanyetso tsa lithethefatsi li tlameha ho laoloa ka tieo ke setsebi se tšoanelehang. Boemo bo kang discirculatory encephalopathy bo tlosoa ka thuso ea li-antihypoxants - hangata hangata glutamic acid e joalo ka sethethefatsi.

Ho bohlokoa haholo ho qala kalafo ka nootropics ka nako e loketseng - meriana ena e ka lieha ho qala ha matšoao a kelello le tahlehelo ea memori.

Leha ho le joalo, bokooa ke phello e ke keng ea qojoa ea discirculatory encephalopathy. E le molao, mekhahlelo e 'meli ea pele e nka lilemo tse 5 kamora ho hloka kalafo kapa lilemo tse 10-15 moo ho nang le thuso ea bongaka ho mokuli. Mokhahlelo oa boraro o lula o nka lilemo tse 4-5, hobane kalafo e ka fokotsa ho fokola ha matšoao. Sephetho ke 'dementia' e felletseng, e lateloang ke phello e bolaeang kapele e bakiloeng ke tšenyo ea likarolo tsa bohlokoa tsa kelello ea motho.

Boemong ba bobeli ba discepulopathy ea discirculatory, bakuli ba haneloa ho etsa mosebetsi o boima oa 'mele, hammoho le ho etsa lintho tse hlokang ho tsamaisana hantle le ho etsa liqeto kapele. Ntle le moo, ha lia lokela ho sebetsoa ka mocheso o phahameng kapa maemong a phahameng a khatello. Bakeng sa bakuli, mokhoa o ikhethileng oa ts'ebetso o beoa le phomolo metsotso e meng le e meng e 3040, e thibelang tahlehelo ea tšebelisano. Boemong ba boraro ba lefu lena, motho o fuoa sehlopha sa batho ba nang le bokooa, kaha o holofala ka botlalo.

Liponahatso tsa pele

Tšobotsi ke tšimoloho e poteletseng le e liehang ho hlaha ea discirculatory encephalopathy. Boemong ba pele ba DEP, mathata a mokokotlo a maikutlo a ka hlahella. Ho hoo e ka bang 65% ea bakuli ba nang le discepulopathy ea discirculatory encephalopathy, hona ke khatello ea maikutlo. Karolo e khethollang ea khatello ea methapo ea maikutlo ke hore bakuli ha ba na tšekamelo ea ho tletleba ka boemo bo tlase ba maikutlo le khatello ea maikutlo. Hangata, joalo ka bakuli ba nang le hypochondriac neurosis, bakuli ba na le Dep ba lula ba sa thabele ho utloa bohloko ka linako tse ling. Discirculatory encephalopathy maemong a joalo e etsahala ka litletlebo tsa bohloko ba morao, arthralgia, hlooho e bohloko, molumo kapa lerata hloohong, bohloko bo tsoang liphoofolong tse fapaneng le lipontšong tse ling tse sa tsamaeeng hantle kliniking ea mokuli ea sa feleng ea mokuli. Ho fapana le khatello ea maikutlo e sithabetsang, khatello ea maikutlo e nang le discepulopathy ea discrulopathy e etsahala khahlano le semelo sa boemo bo sa ferekaneng kapa ntle le lebaka ho hang, ho thata ho phekola kalafo ka meriana e loantšang likhathatso le psychotherapy.

Mokhahlelo oa pele dyscirculatory encephalopathy e ka bontšoa ho eketseha hoa khatello ea maikutlo: ho se ts'oanehe, ho feto-fetoha ha maikutlo ka tšohanyetso, linyeoe tsa ho lla ho sa laoleheng bakeng sa ketsahalo e sa bohlokoa, litlhaselo tsa ho ba le moea o mabifi ho ba bang. Liponahatso tse ts'oanang, hammoho le litletlebo tsa mokuli tsa mokhathala, likhathatso tsa boroko, tšitiso ea maikutlo, discirculatory encephalopathy e tšoana le neurasthenia. Leha ho le joalo, bakeng sa discepulopathy ea discirculatory, ho kopana ha matšoao ana le matšoao a ts'ebetso ea kelello e sa bonahaleng ke ntho e tloaelehileng.

Maemong a 90%, ho senyeha ha kelello ho bonahala maemong a qalang a nts'etsopele ea discirculatory encephalopathy. Tsena li kenyelletsa: ho sitoa ho tsepamisa mohopolo, ho sitoa ho hopola lintho, ho thatafalloa ho hlophisa kapa ho hlophisa mesebetsi efe kapa efe, ho fokotsa sekhahla sa ho nahana, mokhathala ka mor'a khatello ea kelello. Tloaelo ea DEP ke tlolo ea tlhahiso ea tlhaiso-leseling e amohetseng ha re ntse re boloka mehopolo ea liketsahalo tsa bophelo.

Mathata a amanang le ho sisinyeha ha mmele a tsamaeang le mohato oa pele oa discirculatory encephalopathy a kenyeletsa haholo litletlebo tsa ho tsekela le ho hloka botsitso ha o tsamaea.Ho nyekeloa ke pelo le ho hlatsa li ka ba teng, empa ho fapana le "vestibular ataxia" ea tsona, joalo ka ho tsekela, li ka hlaha feela ha li tsamaea.

Matšoao a bohato ba DEP II-III

Stage II-III dyscirculatory encephalopathy e tšoauoa ka keketseho ea khatello ea kelello le ho fokola ha koloi. Ho senyeha ha mohopolo oa bohlokoa, ho se ele hloko, ho theoha kelellong, mathata a tšoailoeng, haeba ho hlokahala, ho hlokomeloa mosebetsi oa kelello oa nakong e fetileng lia hlokomeleha. Ka nako e ts'oanang, bakuli ba DEP ka bo bona ha ba khone ho lekola maemo a bona, ho lekola ts'ebetso ea bona le matla a bona a kelello. Ha nako e ntse e tsamaea, bakuli ba nang le discepulopathy ea discrulopathy ba lahleheloa ke bokhoni ba ho akaretsa le ho nts'etsapele lenaneo la ts'ebetso, ba qala ho tsamaea hampe ka nako le sebaka. Boemong ba boraro ba discepulopathy ea discirculatory encephalopathy, ho phatlalalitsoe ho ferekana menahanong le botumo. Dementia ea hlaha. Bakuli ba felloa ke matla a ho sebetsa, mme ka tlolo e tebileng ba lahleheloa ke tsebo ea bona ea ho itlhokomela.

Bakeng sa mathata a sekhahla sa maikutlo, dyscirculatory encephalopathy ea mekhahlelo ea morao hangata hangata e tsamaisana le ho hloka thahasello. Ho na le tahlehelo ea lithahasello tsa nako e fetileng, ho haella ha mosebetsi. Ka methapo ea dyscirculatory encephalopathy, bakuli ba kanna ba etsa ketso e itseng e sa beheng, 'me hangata ha ba etse letho ho hang. Ha ba iphaphathe ka bona le liketsahalo tse etsahalang haufi le bona.

Motsamao o kenang sethaleng sa 1 oa discirculatory encephalopathy, 'me hamorao o hlahella ho ba bang. Ho tsamaea butle ka mehato e nyane, e tsamaeang le ho thothomela ka lebaka la hore mokuli a sitoa ho hlakola leoto ho tloha mokatong, ke ntho e tloaelehileng ho DEP. Lerata le joalo le fetolang le nang le "discepulopathy" ea discirculatory le bitsoa "gait of skier". Ke tšobotsi ea hore ha u tsamaea, ho thata hore mokuli ea nang le DEP a qale ho ea pele mme hape ho be thata ho emisa. Lipontšo tsena, joalo ka gait ea mokuli ea nang le Dep, li na le ho ts'oana ho joalo le tleliniki ea lefu la Parkinson, empa ka lehlakoreng le leng ha e tsamaisane le mathata a koloi matsohong. Mabapi le sena, lipontšo tsa kliniki tsa discirculatory encephalopathy tse tšoanang le lefu la Parkinson li bitsoa ke lingaka "parkinsonism" ea mmele o tlase kapa "vascular parkinsonism".

Karolong ea III ea DEP, ho bonoa matšoao a ho buuoa ka molomo, ho hlaseloa haholo ke puo, ho thothomela, lefu la pseudobulbar, le ho akheha ha urini. Ponahalo ea ho ts'oaroa ha sethoathoa hoa khoneha. Khafetsa, phase-II-disc discululatory encephalopathy e tsamaisana le ho oela ha o tsamaea, haholo ha o ema kapa o fetoha. Ho oela ho joalo ho ka lebisa ho robeha ha maoto le matsoho, haholoholo ea ho kopantsoe le lefu la osteoporosis.

Tlohela kalafo

E sebetsang hantle haholo khahlanong le discirculatory encephalopathy ke kalafo e akaretsang ea etiopathogenetic. E lokela ho ikemisetsa ho lefella lefu le fumanehang la causative, ho ntlafatsa ho potoloha ha methapo ea methapo le methapo, hammoho le ho sireletsa lisele tsa methapo ho hypoxia le ischemia.

Etiotropic kalafo ea dyscirculatory encephalopathy e ka kenyelletsa khetho ea motho ka mong ea li-antihypertensive le hypoglycemic, lijo tse khahlanong le mafu, jj. .

Motheo oa kalafo ea pathogenetic ea discirculatory encephalopathy ke meriana e ntlafatsang methapo ea methapo 'me e sa lebise liphellong tsa "bosholu".Tsena li kenyelletsa li-blockers tsa calcium calcium (nifedipine, flunarizine, nimodipine), phosphodiesterase inhibitors (pentoxifylline, ginkgo biloba), a2-adrenergic antagonists (pyribedil, nicergoline). Kaha dyscirculatory encephalopathy hangata e tsamaisana le ho eketseha ha liplatelete, bakuli ba nang le DEP ba eletsoa ho nka li-antiplatelet agents bophelo bohle: acetylsalicylic acid kapa ticlopidine, le dipyridamole haeba ho na le li-contraindication ho bona (seso sa ka mpeng, mali a tsoang ka mpeng, joalo-joalo).

Karolo ea bohlokoa ea kalafo ea discepulopia encephalopathy ke lithethefatsi tse nang le phello ea methapo, e eketsang bokhoni ba li-neurons ho sebetsa maemong a hypoxia e sa foleng. Ho lithethefatsi tsena, bakuli ba nang le dyscirculatory encephalopathy ba hlahisitsoe pyrrolidone derivatives (piracetam, jj), GABA derivatives (N-nicotinoyl-gamma-aminobutyric acid, gamma-aminobutyric acid, aminophenylbutyric acid, lithethefatsi tsa liphoofolo (hemodialysate ho tsoa maling a manamane a lebese, hemodialysate , cortexin), lithethefatsi tse kopanyang tsa membrane (choline alfoscerate), li-cofactors le livithamini.

Maemong moo dyscirculatory encephalopathy e bakoang ke ho fokotseha ha lumen ea artery e kahare ea carotid, e fihlella 70%, mme e bonts'oa ke ho tsoela pele ka potlako, liketsahalo tsa PNMK kapa stroke se fokolang, ho bontšoa kalafo ea upasuaji ea DEP. Ka stenosis, ts'ebetso e na le carotid endarterectomy, e nang le occlusion e felletseng, ka sebopeho sa anastomosis e eketsehileng-intracranial. Haeba dyscirculatory encephalopathy e bakoa ke ho hlaseloa ke methapo ea methapo ea methapo, joale ho ahuoa bocha hoa etsoa.